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Silent colonic perforation complicating a ventriculoperitoneal shunt with trans-anal protrusion

MOJ Clinical & Medical Case Reports
Mostafa Zain,1 Amir Ibrahim,1 Ahmed Mohamed Khalil,2 Mostafa Kotb,1 Ahmed Khairi1


Ventriculoperitoneal shunt (VPS) is the most common treatment for hydrocephalus, but it can have many complications. Migration of the distal catheter within the bowel is a rare complication, but it can result in a potentially serious infectious complication, sepsis, or even death. In this study, we report a case of a young child with a peritoneal shunt catheter migrating into the colon and protruding through the anus.


anal protrusion, hydrocephalus, ventriculoperitoneal shunt, volvulus, ascitis, inguinal hernia, intestinal obstruction, polymorphonuclear leucocytosis