Abstract
This abstract outlines the case of a 1-year-old patient with spina bifida and congenital hydrocephalus who developed a rare complication of ventriculoperitoneal shunt insertion: externalization of the drain through the mouth. Surgical intervention successfully addressed the perforation of the duodenal loop, with subsequent management including drainage for ascites and conversion to a ventriculo-atrial shunt. Postoperative follow-up revealed stable neurological status at 24 months.
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