Colonic Perforation due to Ventriculoperitoneal Shunt Catheter: A Case Report

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Aydın Yavuz
Erkut Baha Bulduk
Saygın Altıner
Çağrı Büyükkasap
Kürşat Dikmen
Hasan Bostancı
Hande Köksal


Ventriculoperitoneal shunt is the most common and most effective therapeutic modality for the management of hydrocephalus. While most frequent complication is shunt dysfunction, abdominal complications may also occur at a rate of 25%, where 0.01-0.07% consists of colonic perforation. Despite being rare, a delayed diagnosis and treatment has a relatively mortal course. Once the diagnosis is established, prompt treatment should be initiated with accompanying removal of the catheter. In this case report, we presented a patient who had a ventriculoperitoneal shunt catheter protruding from anus with diagnostic and therapeutic approach in the guidance of the literature.

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Case Report


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

Park CK, Wang KC, Seo JK, Cho BK. Transoral protrusion of peritoneal catheter: A case report and literature review. Childs Nerv Syst 2000;16:184-9.

Başaklar C, Baykaner K, Türkyılmaz Z, Sönmez K, Nuri K. Rectal extrusion of ventriculoperitoneal shunt without abdominal signs: case report and review of the literature. Gazi Medical Journal 1995;6:199-202.

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;54:388-96.

Schulhof LA, Worth RM, Kalsbeck JE.Bowel perforation due to peritoneal shunt. A report of seven casesand a review of the literature. Surg Neurol 1975;3:265-9.

Wilson CB, Bertan V. Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of twocases. Am Surg 1966;32:601-3.

Snow RB, Laryne MH, Fraser RA. Colonic perforation by ventriculoperitoneal shunt. Surg Neurol 1986;25:173-7.

Brownlee JD, Brodley JS, Schaefer IK. Colonic perforation by ventriculoperitoneal shunt tubing: A case of suspected silicon allergy. Surg Neurol 1998;49:21–4.

Pikoulis E, Psallidas N, Daskalakis P, Kouzelis K, Leppaniemi A, Tsatsoulis P. A rare complication of a ventriculoperitoneal shunt resolved by colonoscopy. Endoscopy 2003;35:463.