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Case Reports
. 2024 Jun 28;16(6):e63384.
doi: 10.7759/cureus.63384. eCollection 2024 Jun.

Scrotal Migration of the Ventriculoperitoneal Shunt: A Case Report and Review of the Literature

Farrukh Javeed  1 , Maryam Tariq  2 , Hiba Butt  2 , Lal Rehman  1
Affiliations
Case Reports

Scrotal Migration of the Ventriculoperitoneal Shunt: A Case Report and Review of the Literature

Farrukh Javeed et al. Cureus. .

Abstract

Ventriculoperitoneal (VP) shunt placement is the most frequently used treatment for hydrocephalus. This procedure is not always free of complications, and patients may need additional surgeries to overcome these complications. We are presenting the case of a seven-month-old baby who underwent myelomeningocele repair and VP shunt placement 13 days ago and now presents with inguinal swelling extending into the scrotum. The radiological workup revealed that the peritoneal end of the VP shunt had migrated to the scrotum, causing hydrocele. The shunt was relocated to the abdomen after a right herniotomy and sac reduction. He was discharged on the second postoperative day without any complications, and the further recovery was good at three months. Scrotal migration of a VP shunt is a rare complication and can be avoided by careful early assessment of inguinal hernia or patent processus vaginalis and its surgical repair.

Keywords: hydrocephalus; scrotal migration; shunt complications; shunt migration; ventriculoperitoneal shunt.

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Conflict of interest statement

Human subjects: Consent was obtained or waived by all participants in this study. Institutional Review Board Jinnah Postgraduate Medical Centre issued approval NO.F.2-81/2022-GENL/290/JPMC. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1
Figure 1. X-ray showing the lower end of the VP shunt passing into the right scrotum through the inguinal canal.
Figure 2
Figure 2. X-ray abdomen showing VP shunt successfully reduced back into the peritoneum.
See this image and copyright information in PMC

References

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