Scrotal migration of the abdominal end of the ventriculoperitoneal shunt
Abstract Background The most common treatment of hydrocephalus is ventriculoperitoneal shunt (VPS) operation. Shunt dysfunction may develop in patients with ventriculoperitoneal shunt. The most common causes of shunt dysfunction, which are more common in pediatric patients, are infection, obstructio...
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| Language: | English |
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SpringerOpen
2025-02-01
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| Series: | Egyptian Journal of Neurosurgery |
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| Online Access: | https://doi.org/10.1186/s41984-025-00361-5 |
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| author | Fatih Karatas Muhammed Erkam Yuksek Busra Gul Mehmet Kenan Mehmet Fatih Erdi |
| author_facet | Fatih Karatas Muhammed Erkam Yuksek Busra Gul Mehmet Kenan Mehmet Fatih Erdi |
| author_sort | Fatih Karatas |
| collection | DOAJ |
| description | Abstract Background The most common treatment of hydrocephalus is ventriculoperitoneal shunt (VPS) operation. Shunt dysfunction may develop in patients with ventriculoperitoneal shunt. The most common causes of shunt dysfunction, which are more common in pediatric patients, are infection, obstruction, visceral injury, pseudocyst formation, and excessive or inadequate drainage. Shunt migration is a rare complication of VPS operation, and the shunt catheter may migrate to the gastrointestinal tract, scrotum, bladder, and other organs. Revision surgery is a safe treatment option in most cases of shunt dysfunction or migration. Case presentation In this report, a 2-year and 10-day-old baby patient was observed to have bilateral hydrocele in the outpatient clinic follow-up after the VPS operation, and after radiological imaging, it was determined that the shunt peritoneal catheter was in the scrotum. The patient underwent shunt revision surgery. Conclusion Although malposition of the VPS peritoneal catheter is not always an emergency, reinsertion and surgical revision should be done promptly due to the risk of perforation due to malposition. Close follow-up of patients with VPS is important for early diagnosis and treatment of complications. |
| format | Article |
| id | doaj-art-f77ee9cbbe2841a8b9e14a9319bc67f1 |
| institution | Kabale University |
| issn | 2520-8225 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | Egyptian Journal of Neurosurgery |
| spelling | doaj-art-f77ee9cbbe2841a8b9e14a9319bc67f12025-02-09T12:25:19ZengSpringerOpenEgyptian Journal of Neurosurgery2520-82252025-02-014011510.1186/s41984-025-00361-5Scrotal migration of the abdominal end of the ventriculoperitoneal shuntFatih Karatas0Muhammed Erkam Yuksek1Busra Gul2Mehmet Kenan3Mehmet Fatih Erdi4Department of Neurosurgery, Meram School of Medicine, Necmettin Erbakan UniversityDepartment of Neurosurgery, Meram School of Medicine, Necmettin Erbakan UniversityDepartment of Neurosurgery, Meram School of Medicine, Necmettin Erbakan UniversityDepartment of Neurosurgery, Meram School of Medicine, Necmettin Erbakan UniversityDepartment of Neurosurgery, Meram School of Medicine, Necmettin Erbakan UniversityAbstract Background The most common treatment of hydrocephalus is ventriculoperitoneal shunt (VPS) operation. Shunt dysfunction may develop in patients with ventriculoperitoneal shunt. The most common causes of shunt dysfunction, which are more common in pediatric patients, are infection, obstruction, visceral injury, pseudocyst formation, and excessive or inadequate drainage. Shunt migration is a rare complication of VPS operation, and the shunt catheter may migrate to the gastrointestinal tract, scrotum, bladder, and other organs. Revision surgery is a safe treatment option in most cases of shunt dysfunction or migration. Case presentation In this report, a 2-year and 10-day-old baby patient was observed to have bilateral hydrocele in the outpatient clinic follow-up after the VPS operation, and after radiological imaging, it was determined that the shunt peritoneal catheter was in the scrotum. The patient underwent shunt revision surgery. Conclusion Although malposition of the VPS peritoneal catheter is not always an emergency, reinsertion and surgical revision should be done promptly due to the risk of perforation due to malposition. Close follow-up of patients with VPS is important for early diagnosis and treatment of complications.https://doi.org/10.1186/s41984-025-00361-5HydrocephalusScrotumDysfunctionMigrationShunt |
| spellingShingle | Fatih Karatas Muhammed Erkam Yuksek Busra Gul Mehmet Kenan Mehmet Fatih Erdi Scrotal migration of the abdominal end of the ventriculoperitoneal shunt Egyptian Journal of Neurosurgery Hydrocephalus Scrotum Dysfunction Migration Shunt |
| title | Scrotal migration of the abdominal end of the ventriculoperitoneal shunt |
| title_full | Scrotal migration of the abdominal end of the ventriculoperitoneal shunt |
| title_fullStr | Scrotal migration of the abdominal end of the ventriculoperitoneal shunt |
| title_full_unstemmed | Scrotal migration of the abdominal end of the ventriculoperitoneal shunt |
| title_short | Scrotal migration of the abdominal end of the ventriculoperitoneal shunt |
| title_sort | scrotal migration of the abdominal end of the ventriculoperitoneal shunt |
| topic | Hydrocephalus Scrotum Dysfunction Migration Shunt |
| url | https://doi.org/10.1186/s41984-025-00361-5 |
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