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J Pediatr Neurosci. 2016 Jul-Sep;11(3):274-276.

Transanal protrusion of ventriculoperitoneal shunt via appendicular perforation: A rare case report.

Author information

1
Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
2
Department of Gastrointestinal Surgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.

Abstract

Perforation of abdominal viscera and protrusion of the distal end of ventriculoperitoneal shunt (VPS) through natural orifice is well known but rare complication. We report a case of a transanal protrusion of distal end of VPS through appendix perforation without any symptomatology of prior appendicitis. To the best of our knowledge, no case of such kind has been reported in literature yet. The management plan of these patients should be looked in a different way because they may have underlying inflammation of the appendix and distal end of shunt removal should be done by proper surgical exploration followed by added appendicectomy.

KEYWORDS:

Anal protrusion; appendix; complication; hydrocephalus; ventriculoperitoneal shunt

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