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Updated: Aug 9, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Abdominal complications of ventriculoperitoneal shunts in children
Brian D Coley1, Edward J Kosnik
1Department of Radiology, Columbus Children's Hospital, 700 Children's Drive, Columbus, Ohio 43205, USA. bcoley@chi.osu.edu
Insights
Pediatric ventricular peritoneal shunts are common but prone to abdominal complications like infection. Recognizing these subtle imaging findings is crucial for timely diagnosis and management in complex children.
Area of Science:
- Pediatric Neurosurgery
- Medical Imaging
- Gastrointestinal Complications
Background:
- Ventricular peritoneal shunting is a frequent pediatric neurosurgical intervention.
- Shunts in children are susceptible to various complications, particularly abdominal issues.
- Abdominal complications, often infection-related, can be challenging to diagnose in medically complex pediatric patients.
Purpose of the Study:
- To review the spectrum of imaging findings associated with abdominal complications of ventricular peritoneal shunts in children.
- To enhance the recognition of subtle abnormalities on medical imaging.
- To aid clinicians in diagnosing shunt-related abdominal issues.
Main Methods:
- Review of imaging findings in pediatric patients with abdominal shunt complications.
- Analysis of subtle and overt abnormalities on various imaging modalities.
- Correlation of imaging findings with clinical presentation and outcomes.
Main Results:
- Abdominal complications of shunts present with a range of imaging abnormalities.
- Infection and its sequelae are common causes of these complications.
- Imaging findings can be subtle, requiring expert interpretation.
Conclusions:
- Accurate interpretation of imaging is vital for managing abdominal shunt complications in children.
- Understanding the diverse imaging manifestations aids in early detection.
- This review provides a guide to recognizing these complex pediatric neurosurgical issues.
Abstract:
Ventricular peritoneal cerebrospinal fluid shunting has become a common pediatric neurosurgical procedure over the last 40 years. While invaluable for these patients, shunts are prone to complications, especially in children. Abdominal complications are often secondary to infection and its complications, and may be difficult to recognize in these medically complex children. Imaging is often required, but the findings may be subtle and require an appreciation of the spectrum of possible abnormalities. This article reviews the imaging findings present with abdominal shunt complications.
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