Case Reports in Clinical Practice 2017. 2(2):29-32.

Penetration of Ventriculoperitoneal Shunt into the Transverse Colon and Anal Extrusion in a Child: A Rare Case Report
Abdolhamid Amouei, Mojtaba Babaei-Zarch, Fatemeh Ehsani, Seyed Mostafa Tabataei, Mohammad Javad Asadi


Ventriculoperitoneal (VP) shunt placement is the most common procedure used in the treatment of hydrocephalus. However, it has been associated with several complications. Herein, we report penetration of VP shunt into the transverse colon and anal extrusion in a 5-year-old child who was a case of congenital hydrocephalus. The patient underwent laparotomy. The tube was palpated to be in the sigmoid colon. The shunting tube was removed and transverse colon was repaired.


Ventriculoperitoneal shunt; Anus; Extrusion; Child; Case reports

Full Text:



Martinez Hernandez-Magro P, Barrera Roman C, Villanueva Saenz E, Zavala MJ. Colonic perforation as a complication of ventriculoperitoneal shunt: A case report. Tech Coloproctol 2006; 10(4): 353-5.

Yilmaz N, Kiymaz N, Yilmaz C, Caksen H, Yuca SA. Anal protrusion of ventriculoperitoneal shunt catheter: Report of two infants. J Pediatr Neurol 2004; 2(4): 241-4.

Yousfi MM, Jackson NS, Abbas M, Zimmerman RS, Fleischer DE. Bowel perforation complicating ventriculoperitoneal shunt: Creport and review. Gastrointest Endosc 2003; 58(1): 144-8.

Sathyanarayana S, Wylen EL, Baskaya MK, Nanda A. Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: Case report and a review of 45 cases. Surg Neurol 2000; 54(5): 388-96.

Estey CM. Congenital Hydrocephalus. Vet Clin North Am Small Anim Pract 2016; 46(2): 217-29.

Birbilis T, Zezos P, Liratzopoulos N, Oikonomou A, Karanikas M, Kontogianidis K, et al. Spontaneous bowel perforation complicating ventriculoperitoneal shunt: A case report. Cases J 2009; 2: 8251.

Sharifian A, Abdollahi A, Maddah G, Anaraki F, Alvandipour M, Abbasi Sahebi M, et al. Spontaneous transanal protrusion of ventriculoperitoneal catheter: A case report. Acta Med Iran 2013 51(2): 135-8.

Gupta SK, Jaiswal AK, Kumar S. Ventriculoperitoneal shunt catheter masquerading as ascariasis. J Clin Neurosci2005; 12(8): 966-7.

Chiang LL, Kuo MF, Fan PC, Hsu WM. Transanal repair of colonic perforation due to ventriculoperitoneal shunt-case report and review of the literature. J Formos Med Assoc 2010; 109(6): 472-5.

Basaklar C, Baykaner K, Turkyilmaz Z, Sonmez K, Kale N. Rectal extrusion of ventriculoperitoneal shunt without abdominal signs: Case report and review of the literature. Gazi Medical Journal 1995; 6(4): 199-202.

Snow RB, Lavyne MH, Fraser RAR. Colonic perforation by ventriculoperitoneal shunts. Surg Neurol 1986; 25(2): 173-7.


  • There are currently no refbacks.

Creative Commons Attribution-NonCommercial 3.0

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.