Adnan Khaliq, Mumtaz Ali, Farooq Azam, Mohammad Ayub.
Migration of Ventriculoperitoneal Shunt to Scrotum via Patent Processus Vaginalis.
J Saidu Med Col Jan ;11(1):56-7.

Hydrocephalus in children is either treated by ventriculoperitoneal shunt or Endoscopic third ventriculostomy (ETV) depending upon specific factors pertaining to clinical and radiological diagnosis. There are many complications of ventriculoperitoneal shunt and migration of peritoneal to scrotum, anal canal, urinarry bladder has been reported. The intra abdominal complications are managed by a combined team work of neurosurgeon and Pediatric surgeon. We have reported a case in which patient was diagnosed as congenital hydrocephalus with a lumbar myelomeningocele one year back, Right sided ventriculoperitoneal shunt was passed initially followed by lumbar myelomeningocele repair. Now patient was presented by parents with scrotal swelling, clinical examination and shunt series X-rays showed migration of lower end of ventriculoperitoneal shunt to scrotum, pediatric surgeon was consulted in same institution, a single incision at right inguinal ligament was used to replace the migrated catheter into abdomen and hernia repair.

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