American Journal of Medical Case Reports
ISSN (Print): 2374-2151 ISSN (Online): 2374-216X Website: Editor-in-chief: Samy, I. McFarlane
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American Journal of Medical Case Reports. 2017, 5(3), 59-61
DOI: 10.12691/ajmcr-5-3-4
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Series of 3 Cases of Silent Colonic Perforation by Ventriculoperitonal Shunt Catheter Prolapsing through Anus, an Infrequent Complication: A Case Report

Qassim Al Hinai1, Neeraj Salhotra1, , Munthir Al Zabin1, Azmat Ali1, Salim Al Abri1, Mohammad Hashim1 and S.D Lad1

1Department of Neurosurgery, Khoula Hospital, Muscat, Oman, PO box 90, Postal Code 116

Pub. Date: March 30, 2017

Cite this paper:
Qassim Al Hinai, Neeraj Salhotra, Munthir Al Zabin, Azmat Ali, Salim Al Abri, Mohammad Hashim and S.D Lad. Series of 3 Cases of Silent Colonic Perforation by Ventriculoperitonal Shunt Catheter Prolapsing through Anus, an Infrequent Complication: A Case Report. American Journal of Medical Case Reports. 2017; 5(3):59-61. doi: 10.12691/ajmcr-5-3-4


The ventriculoperitoneal shunt has been the preferred therapy for chronic hydrocephalus for a long time. Complications of this therapy include pseudocyst formation, perforation of the gastrointestinal tract, penetration into solid organs/abdominal wall, protrusion outside the body, disconnection and infection. Bowel perforation is rare complication of VP shunt placement [8]. Silent colonic perforation by ventriculoperitoneal shunt catheter and later patient presenting with catheter prolapsing from anal opening is seen less frequently [1]. We had 3 children 1-3 years old a case of hydrocephalus with ventriculoperitoneal shunt presenting in above scenario. Patients were completely asymptomatic with no features of toxemia indicating a chronic process [2]. Treatment involves pediatric surgical help in removing the shunt catheter, waiting for a sterile cerebrospinal fluid sample via repeated cultures and replacement of shunt catheter in a different quadrant in abdominal cavity.

colonic perforation by shunt catheter

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