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Updated: Feb 14, 2026

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Infant with recurrent ventriculoperitoneal shunt migration to right scrotum
Amanda Paterson1, Richard Ferch1
1Department of Neurosurgery, John Hunter Hospital, Newcastle, Australia.
Insights
Distal catheter migration to the scrotum is a rare ventriculoperitoneal shunt complication. This case highlights recurrent scrotal migration in an infant, requiring surgical revision and catheter shortening.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Medical Device Complications
Background:
- Ventriculoperitoneal shunts are standard treatment for hydrocephalus.
- Shunt malfunction, including distal catheter migration, can occur.
- Migration to the scrotum is a rare but reported complication.
Observation:
- A 13-month-old infant with hydrocephalus experienced recurrent distal catheter migration to the right scrotum.
- This migration was associated with the development of a hydrocele.
- The patient required two surgical revisions for the shunt.
Findings:
- The recurrent scrotal migration was successfully managed by shortening the distal catheter.
- The infant later underwent bilateral inguinal hernia repairs.
Implications:
- This case underscores the importance of considering catheter length and anatomical factors in shunt placement.
- Early recognition and surgical intervention are crucial for managing shunt migration complications.
- Further research into preventative strategies for distal catheter migration may be warranted.
Abstract:
Migration of the distal catheter of a ventriculoperitoneal shunt to the scrotum is a documented but rare event. We present a case in which a 13 month old infant with hydrocephalus had recurrent migration of the peritoneal catheter to the right scrotum associated with a developing hydrocele. The patient underwent two revision operations and the distal catheter was ultimately shortened. He later underwent bilateral inguinal hernia repairs.
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