Migration of Ventriculoperitoneal Shunt into a Hernia Sac: An Unusual Complication of Ventriculoperitoneal Shunt Surgery in Children

Abstract

We report 2 cases of ventriculoperitoneal (VP) shunt migration into an inguinal hernia sac. In both cases hernia manifested itself on the right side in late infancy. We attempted to analyse the anatomical and mechanical factors leading to shunt migration as seen in the X-rays of our cases.

Mechanisms and Major Sites of Distal Catheter Migration in Ventriculoperitoneal Shunting Maneuvers: A Review Article

“…Various factors, including the up and down movement of the liver during respiration and forceful peristalsis of the pylorus and duodenum, are involved in displacement. Vigorous peristaltic movement of the small bowel aids migration [15]. A neonatal girl baby endured darning of a huge lumbar myelomeningocele, followed a few weeks later by ventriculoatrial shunt for hydrocephalus.…”

“…Figure15 Extra-abdominal migration. The end of the Raimondi catheter is shown protruding from the abdominal wall.…”

A case of transanal protrusion of ventriculoperitoneal shunt in an adult patient without any classic symptoms of bowel perforation

“…This particular complication should not be overlooked since it can cause a high mortality rate of 15% and although rare, may cause severe consequences. 4 , 5 , 7 …”

A Case of Transanal protrusion of Ventriculoperitoneal Shunt in an Adult Patient Who Underwent Surgery After Multiple Trauma

“…75 percent of patients with bowel perforation don't experience the classic clinical symptoms of peritonitis or bowel perforation and may be asymptomatic. This particular complication should not be overlooked since it can cause a high mortality rate of 15% and although rare, may cause severe consequences (4,5,7).…”

“…Similar to any other procedure, there are different complications to this surgery. Abdominal complications, including peritoneal pseudocysts, intestinal volvulus, protruding in hernial sac or extrusion through vagina, scrotum, umbilicus or gastrointestinal tract, are rare but according to previous studies happen in 5-47 % of cases (3)(4)(5).…”