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Updated: Aug 15, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Ventriculoperitoneal shunt catheter masquerading as ascariasis
Sanjeev K Gupta1, Awadhesh K Jaiswal, Sushil Kumar
1Department of Neurosurgery, St. Stephen's Hospital, Near Tees Hazari, Delhi, India.
Insights
A rare complication of ventriculoperitoneal shunts occurred when a catheter extruded through the anus in an infant with hydrocephalus. Bowel perforation happened without infection, highlighting unique shunt complications.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Gastroenterology
Background:
- Hydrocephalus is a common condition in infants requiring cerebrospinal fluid diversion.
- Ventriculoperitoneal shunts are a standard treatment, but complications can arise.
Observation:
- A rare case of ventriculoperitoneal shunt catheter extrusion through the anus in an 8-month-old child is presented.
- The shunt catheter perforated the bowel.
Findings:
- The complication occurred without signs of peritonitis or retrograde infection of the shunt system.
- This suggests a unique pathogenesis for shunt extrusion.
Implications:
- Understanding rare complications like bowel perforation is crucial for pediatric neurosurgeons.
- This case highlights the importance of vigilant monitoring for unusual shunt-related issues.
Abstract:
We describe extrusion of a ventriculoperitoneal shunt catheter through the anus occurring in an eight month child with hydrocephalus. This is a rare complication of ventriculoperitoneal shunt. Perforation of the bowel by the peritoneal catheter of the shunt occurred without peritonitis or retrograde infection of the shunt system. Pathogenesis and the literature is reviewed.
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