@article{ajmcr2017534,
author={{Hinai, Qassim Al and Salhotra, Neeraj and Zabin, Munthir Al and Ali, Azmat and Abri, Salim Al and Hashim, Mohammad and Lad, S.D},
title={Series of 3 Cases of Silent Colonic Perforation by Ventriculoperitonal Shunt Catheter Prolapsing through Anus, an Infrequent Complication: A Case Report},
journal={American Journal of Medical Case Reports},
volume={5},
number={3},
pages={59--61},
year={2017},
url={http://pubs.sciepub.com/ajmcr/5/3/4},
issn={2374-216X},
abstract={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.},
doi={10.12691/ajmcr-5-3-4}
publisher={Science and Education Publishing}
}