Migration of Ventriculoperitoneal Shunt to Scrotum via Patent Processus Vaginalis

Abstract

Hydrocephalus in children is either treated by ventriculoperitoneal shunt or Endoscopic third ventriculostomy (ETV) dependingupon specific factors pertaining to clinical and radiological diagnosis. There are many complications of ventriculoperitoneal shuntand migration of peritoneal to scrotum, anal canal, urinarry bladder has been reported. The intra abdominal complications aremanaged by a combined team work of neurosurgeon and Pediatric surgeon.We have reported a case in which patient was diagnosed as congenital hydrocephalus with a lumbar myelomeningocele one yearback, Right sided ventriculoperitoneal shunt was passed initially followed by lumbar myelomeningocele repair. Now patient waspresented by parents with scrotal swelling, clinical examination and shunt series X-rays showed migration of lower end ofventriculoperitoneal shunt to scrotum, pediatric surgeon was consulted in same institution, a single incision at right inguinalligament was used to replace the migrated catheter into abdomen and hernia repair.Key Words: Ventriculoperitoneal shunt, Scrotal migration, Post-operative shunt complications