Henriksson published in 1952 the first report of an intestinal bypass procedure for the treatment of obesity (1). In 1956, Payne and his colleagues found that the jejunocolic bypass was effective in treating morbid obesity, but that it was associated with numerous complications (2) which included arthritis in 32% of the patients (3,4). The procedure was modified to a jejunoileal anastomosis in an attempt to decrease complications.
A 16-year-old male with acute hydrocephalus due to bilateral acoustic neuromata was treated successfully with a ventriculoperitoneal shunt before formal neuroma resection. However, 2 years postoperatively, he noticed the distal shunt per rectum while defaecating. Subsequent removal was successfully performed using a flexible sigmoidoscope.
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