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

Abstract

Ventriculoperitoneal (VP) shunt surgery is the treatment of choice for hydrocephalus with approved efficacy. Nonetheless, in 10-30% of patients, abdominal complications may develop. These complications include peritoneal pseudocyst, migration of the catheter to various organs including intestine, vagina, scrotum, umbilicus, and urinary bladder, in addition to volvulus, ascitis, inguinal hernia and intestinal obstruction.1