Abstract
BackgroundVentriculoperitoneal shunt malpositions are known complications which tend to increase the morbidity and recovery time of an elegant procedure. Distal malpositions into subcutaneous space due to improper closure or positioning can lead to shunt failure. Migration to the scrotum due to a patent processus vaginalis is, however, reported only in a handful of cases and, thus, needs to be highlighted and reported.ResultsWe report a case of congenital hydrocephalus that underwent shunting at the age of 3 months and reported to be 9 months later with the shunt tube being felt in the scrotum. Repositioning along with herniotomy was performed.ConclusionsA rare occurrence, scrotal migration, needs to recognized and reported. Potential preventive measures include truncation stiches and laproscopic assisted insertion.
Highlights
Ventriculoperitoneal shunt malpositions are known complications which tend to increase the morbidity and recovery time of an elegant procedure
Shunt migration through a patent processus vaginalis within the scrotal sac is a rare event, with only a few cases reported till date [2,3,4,5,6,7,8,9,10,11,12,13,14,15]
We report a case of scrotal migration of VP shunt in a 1-year-old boy, through patent processus vaginalis, who had a background history of congenital hydrocephalus
Summary
Ventriculoperitoneal shunts (VPS) are the most commonly performed operative procedures to treat hydrocephalus in children. Catheters are placed such that they allow drainage of CSF from the ventricle to the peritoneal cavity. We report a case of scrotal migration of VP shunt in a 1-year-old boy, through patent processus vaginalis, who had a background history of congenital hydrocephalus. On physical examination involving affected side of inguinal scrotal region, a tube-like structure was palpable going from the abdomen to the scrotum confirming the herniation for the shunt through the processus vaginalis. The patient underwent repositioning of the distal shunt catheter along with obliteration of the patent processus vaginalis via a separate inguinal incision with the assistance of a pediatric surgeon. On retrospectively analyzing the case via file history and examination records, Deora et al Egyptian Journal of Neurosurgery (2019) 33:9
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