Rare complication of ventriculoperitoneal shunt. Early onset of distal catheter migration into scrotum in an adult male: Case report and literature review

Abstract

HighlightsCases of scrotal migration of distal catheter in adults are rare.There have been no reports for scrotal migration in adults at an early onset.Early detection of migration of distal catheter prevents shunt malfunction.Prompt surgical management of catheter repositioning is recommended.

Needle in a haystack: migration of ventriculoperitoneal shunt into scrotum of infant

“…The residual peritoneal cavity volume is linearly correlated with the body surface area (80 ml/m 2 ); pediatric patients have a higher Fig. 1 AP radiograph of the chest and abdomen showed shunt tube in the abdomen which was twisted and kinked in its mid portion and its distal end in the right scrotum tendency to have VPS distal catheter migrate into the scrotum due to patent processus vaginalis and smaller peritoneal cavity [6].…”

“…After placement, however, complications are frequent, especially in children. 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.…”

Cerebrospinal fluid hydrocele caused by scrotal migration of a ventriculoperitoneal shunt

“…Shahizon et al reported a case of scrotal mass formed by coiling of a fractured end of VPS migrating into the scrotum within the hernia sac 8. Lee et al reported a case of VPS migration into the scrotum of an adult male 9. Singh et al compiled data on total 30 cases where VPS migrated into the inguinal hernia sac.…”

Migration of Ventriculoperitoneal Shunt into a Hernia Sac: An Unusual Complication of Ventriculoperitoneal Shunt Surgery in Children

“…A fractured end of VP shunt tubing migrating to the scrotum within the hernia sac and coiling to form a scrotal mass has also been reported [2]. Lee et al [3] compiled data on cases where a VP shunt migrated into the inguinal hernia sac. On analysing their data, it was seen that there were 61 such cases in 30 case reports.…”