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Updated: Jun 18, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Spontaneous bowel perforation complicating ventriculoperitoneal shunt: a case report
Theodosios Birbilis1, Petros Zezos, Nikolaos Liratzopoulos
1Department of Neurosurgery, Democritus University of Thrace, University General Hospital, Dragana, 68100 Alexandroupolis, Greece. mpirmpil@otenet.gr
Ventriculoperitoneal shunts treat hydrocephalus but can cause rare, fatal bowel perforations. Early recognition and surgical intervention are crucial for patient survival.
Area of Science:
- Neurosurgery
- Gastroenterology
- Medical Devices
Background:
- Ventriculoperitoneal shunts are standard for hydrocephalus, diverting cerebrospinal fluid.
- Shunt complications, including abdominal issues, occur frequently, with bowel perforation being rare but severe.
Observation:
- A 54-year-old male presented with spontaneous sigmoid colon perforation.
- This was identified as a complication of distal ventriculoperitoneal shunt migration.
Findings:
- The patient underwent successful treatment with antibiotic prophylaxis and abdominal surgery.
- This case highlights spontaneous bowel perforation as a potential, life-threatening shunt complication.
Implications:
- Clinicians must maintain high awareness of ventriculoperitoneal shunt complications.
- Prompt diagnosis and management are vital for improving outcomes in these rare cases.
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