Scrotal migration of a ventriculoperitoneal shunt in an adult. A case report and literature review

Rare complication of lumboperitoneal shunt with distal catheter migration into the inguinal hernia sac in two adults: A case report

“…To the best of our knowledge, the migration of distal catheters into the inguinal region after VPS or LPS is more common in children and rare (nine cases only) in adults. [ 1 , 4 , 6 , 7 , 9 - 12 , 15 ] In LPS, only one case of distal catheter migration into the inguinal region has been reported. Kimura et al .…”

“…Symptoms included a scrotal mass, inguinal pain, intracranial hypertension due to shunt failure (e.g., headache, vomiting, and disturbed consciousness), perforation, and infection. [ 1 , 4 - 7 , 9 - 12 , 15 ] All of these were treated surgically, including catheter removal, catheter trimming, shunt reconstruction, and hernia repair. [ 1 , 4 - 7 , 9 - 12 , 15 ]…”

“…[ 1 , 4 - 7 , 9 - 12 , 15 ] All of these were treated surgically, including catheter removal, catheter trimming, shunt reconstruction, and hernia repair. [ 1 , 4 - 7 , 9 - 12 , 15 ]…”

“…[3] It is relatively safe because the shunt catheter does not pass through the central nervous system; however, complications such as infection, obstruction, over-or under-drainage, and proximal or distal catheter migration (into the abdominal wall, diaphragm, heart, lungs, scrotum, or rarely, the inguinal hernia sac) can occur. [1,[3][4][5][6][7][8][9][10][11][12][13][14][15] Although distal catheter migration usually has minor and benign consequences, as tubing often remains within the peritoneal cavity, if the catheter is in the inguinal hernia sac, it can cause symptomatic shunt dysfunction or perforation, which can be debilitating and fatal. [12,15] Inguinal complications of ventriculoperitoneal shunt (VPS) procedures have been reported, particularly in children, but are rare in adults; [1,4,6,7,[9][10][11][12]15] in LPS, only one case of distal catheter migration into the scrotum has been reported.…”

A case of spontaneous resolution of a scrotal ventriculoperitoneal shunt migration

“…The gastrointestinal tract, bladder, abdominal wall, vagina, scrotum, and mediastinum are all locations of migration that has been reported in the literature [4] . Scrotal migration remains a very rare complication, with recent systemic reviews showing only 48 reported cases in the literature [ 5 , 6 ]. Treatment was surgical in all but one case reported in 1983 [5] .…”