Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review

Introduction: The ventriculoperitoneal shunt is the most widely used surgical procedure for the treatment of hydrocephalus. It is associated with numerous mechanical complications, including distal catheter migration. Case report: We present a case in which the peritoneal catheter migrated into th...

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Autores principales:	Antônio Gilson Prates Junior, Fernando Augusto Medeiros Carrera Macedo, Emmanuel de Oliveira Vasconcelos e Sá, Ana Luisa Ribeiro Pinto
Formato:	article
Lenguaje:	EN
Publicado:	Brazilian Society for Pediatric Neurosurgery 2020
Materias:	ventriculoperitoneal shunt catheter migration scrotum hydrocele inguinal hernia Pediatrics RJ1-570 Surgery RD1-811
Acceso en línea:	https://doaj.org/article/3730da7c0e4e4271973ed0e382c5995f
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spelling	oai:doaj.org-article:3730da7c0e4e4271973ed0e382c5995f2021-11-23T21:46:36ZMigration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review2675-362610.46900/apn.v2i2(May-August).28https://doaj.org/article/3730da7c0e4e4271973ed0e382c5995f2020-06-01T00:00:00Zhttps://www.archpedneurosurg.com.br/pkp/index.php/sbnped2019/article/view/28https://doaj.org/toc/2675-3626Introduction: The ventriculoperitoneal shunt is the most widely used surgical procedure for the treatment of hydrocephalus. It is associated with numerous mechanical complications, including distal catheter migration. Case report: We present a case in which the peritoneal catheter migrated into the scrotum. The patient was admitted with asymmetric scrotal swelling and, during hospitalization, developed shunt dysfunction and infection. The shunt was withdrawn and treatment was initiated for infection. At the end of treatment, a new shunt was implanted and bilateral hernioplasty was performed by the pediatric surgery team. At follow-up, there was adequate head circumference growth and no testicular abnormalities. Discussion: The procesus vaginalis is formed from the evagination of the peritoneum through the inguinal canal, leading to the descent of the testis during the embryonic period. The patency of this structure is the predisposing anatomical condition for the occurrence of inguinal hernia and for the migration of the shunt catheter into the scrotum. This condition is present in up to 80% of newborns and 60% of 1-year-old infants. The migration of the catheter commonly occurs until 12 months after surgery, typically on the right side. Conclusion: The presence of scrotal swelling in a patient with ventriculoperitoneal shunt should warrant the investigation of catheter migration.Antônio Gilson Prates JuniorFernando Augusto Medeiros Carrera MacedoEmmanuel de Oliveira Vasconcelos e SáAna Luisa Ribeiro PintoBrazilian Society for Pediatric Neurosurgeryarticleventriculoperitoneal shuntcatheter migrationscrotumhydroceleinguinal herniaPediatricsRJ1-570SurgeryRD1-811ENArchives of Pediatric Neurosurgery, Vol 2, Iss 2(May-August), Pp e282020-e282020 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	ventriculoperitoneal shunt catheter migration scrotum hydrocele inguinal hernia Pediatrics RJ1-570 Surgery RD1-811
spellingShingle	ventriculoperitoneal shunt catheter migration scrotum hydrocele inguinal hernia Pediatrics RJ1-570 Surgery RD1-811 Antônio Gilson Prates Junior Fernando Augusto Medeiros Carrera Macedo Emmanuel de Oliveira Vasconcelos e Sá Ana Luisa Ribeiro Pinto Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review
description	Introduction: The ventriculoperitoneal shunt is the most widely used surgical procedure for the treatment of hydrocephalus. It is associated with numerous mechanical complications, including distal catheter migration. Case report: We present a case in which the peritoneal catheter migrated into the scrotum. The patient was admitted with asymmetric scrotal swelling and, during hospitalization, developed shunt dysfunction and infection. The shunt was withdrawn and treatment was initiated for infection. At the end of treatment, a new shunt was implanted and bilateral hernioplasty was performed by the pediatric surgery team. At follow-up, there was adequate head circumference growth and no testicular abnormalities. Discussion: The procesus vaginalis is formed from the evagination of the peritoneum through the inguinal canal, leading to the descent of the testis during the embryonic period. The patency of this structure is the predisposing anatomical condition for the occurrence of inguinal hernia and for the migration of the shunt catheter into the scrotum. This condition is present in up to 80% of newborns and 60% of 1-year-old infants. The migration of the catheter commonly occurs until 12 months after surgery, typically on the right side. Conclusion: The presence of scrotal swelling in a patient with ventriculoperitoneal shunt should warrant the investigation of catheter migration.
format	article
author	Antônio Gilson Prates Junior Fernando Augusto Medeiros Carrera Macedo Emmanuel de Oliveira Vasconcelos e Sá Ana Luisa Ribeiro Pinto
author_facet	Antônio Gilson Prates Junior Fernando Augusto Medeiros Carrera Macedo Emmanuel de Oliveira Vasconcelos e Sá Ana Luisa Ribeiro Pinto
author_sort	Antônio Gilson Prates Junior
title	Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review
title_short	Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review
title_full	Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review
title_fullStr	Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review
title_full_unstemmed	Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review
title_sort	migration of ventriculoperitoneal shunt catheter into the scrotum: a case report and literature review
publisher	Brazilian Society for Pediatric Neurosurgery
publishDate	2020
url	https://doaj.org/article/3730da7c0e4e4271973ed0e382c5995f
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Migration of Ventriculoperitoneal Shunt Catheter into the Scrotum: A Case Report and Literature Review

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