Related Experiment Video

Updated: Apr 11, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
14:59

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus

Published on: October 14, 2022

11.9K

Ventriculoperitoneal Shunt Tip as a Rare Cause for Recurrent Pain Episodes in a Child: Think Irritable Peritoneum

Martin Poryo1, Regina Eymann, Sascha Meyer

  • 1Department of Pediatric Cardiology, Saarland University Medical Center, Homburg/Saar, Germany.

Pediatric Neurosurgery
|June 6, 2015
PubMed

Insights

Ventriculoperitoneal shunting complications can cause pain in children. Repositioning a misplaced shunt tip resolved recurrent pain in one child, suggesting visceral irritation as a potential cause.

Area of Science:

  • Neurosurgery
  • Pediatric Surgery
  • Gastroenterology

Background:

  • Ventriculoperitoneal (VP) shunting is a common treatment for post-hemorrhagic hydrocephalus, managing cerebrospinal fluid (CSF) drainage.
  • Complications of VP shunting include blockage, overdrainage, and visceral perforation, often leading to headaches in children.
  • Recurrent pain in children with VP shunts can be challenging to diagnose, especially in non-verbal patients.

Observation:

  • A 7-year-old child experienced recurrent painful episodes following VP shunt revision.
  • The child's pain resolved only after the abdominal tip of the VP shunt was repositioned.

Findings:

  • Malpositioning of the abdominal VP shunt tip can cause visceral irritation.
  • This visceral irritation may manifest as recurrent pain, particularly in non-verbal children.

Implications:

  • Visceral irritation from a malpositioned VP shunt should be considered in the differential diagnosis of recurrent pain in pediatric patients.
  • This highlights the importance of careful shunt placement and consideration of abdominal complications in managing hydrocephalus.
  • Accurate diagnosis and management of VP shunt complications are crucial for improving patient outcomes and quality of life.

More Related Videos

Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats04:12

Modeling Posthemorrhagic Hydrocephalus of Prematurity in Rats

Published on: March 28, 2025

698
Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis03:57

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis

Published on: July 8, 2025

397

Related Concept Videos

Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
3.9K
Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four...
19.8K