Related Experiment Video
Updated: Dec 15, 2025
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Extrusion of Anterior Abdominal Wall by a Ventriculoperitoneal Shunt - An Uncommon Complication: Case Report and
Amira Alolyani1, Fatimah Al Dandan1, Shaymaa Al-Umran1
1Department of Neurosurgery, King Fahad Hospital of the University, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
Insights
A rare complication of ventriculoperitoneal (VP) shunts, distal end migration, was observed in an 11-year-old boy. The shunt spontaneously extruded through the abdominal wall, likely due to cerebrospinal fluid (CSF) pulsations, and the patient became shunt independent.
Area of Science:
- Neurosurgery
- Pediatric Surgery
Background:
- Ventriculoperitoneal (VP) shunts are standard for hydrocephalus management.
- Distal end migration of VP shunts is an exceptionally rare complication.
Abstract:
Ventriculoperitoneal shunt (VP-shunt) is a commonly performed procedure for the management of hydrocephalus. Migration of the distal end of VP-shunt is one of the rarest complications. The authors report a case of an 11-year-old boy who presented with a spontaneous extrusion of the distal end of the VP-shunt through an intact abdominal wall. Literature was reviewed regarding the possible causes of such complication and the management approach in similar cases. The suggested phenomenon for this case could be attributed to the continuous hammer effect of the cerebrospinal fluid (CSF) pulsations on the abdominal wall. It is important to assess the future need for long-term CSF diversion, as in this case, the patient did not require reinsertion of a new shunt system because he was shunt independent.
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