Sun, Nov 9, 2025
Volume 13, Issue 4 (10-2025)
J. Pediatr. Rev 2025, 13(4): 345-350 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Mousavi S A, Ehteshami S, Pahnabi A. Anal Extrusion of Ventriculoperitoneal Shunt in a 14-month-old: A Rare Complication and Management. J. Pediatr. Rev 2025; 13 (4) :345-350
URL: http://jpr.mazums.ac.ir/article-1-593-en.html
URL: http://jpr.mazums.ac.ir/article-1-593-en.html
1- Pediatric Infectious Diseases Research Center, Communicable Diseases Institute, Mazandaran University of Medical Sciences, Sari, Iran.
2- Department of Neurosurgery, Orthopedic Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
3- Department of Operating Room, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. ,chesmabi91@yahoo.com
2- Department of Neurosurgery, Orthopedic Research Center, School of Medicine, Mazandaran University of Medical Sciences, Sari, Iran.
3- Department of Operating Room, Faculty of Medicine, Mazandaran University of Medical Sciences, Sari, Iran. ,
Abstract: (14 Views)
Background: Medulloblastoma of the cerebellum treatment often involves ventriculoperitoneal (VP) shunt placement for associated hydrocephalus. In this study, we report a rare but successfully managed case of VP shunt extrusion through the anus, treated with a single incision technique without requiring a laparotomy or endoscopic intervention.
Case Presentation: In this study, the case was a 14-month-old infant who had undergone cerebellar medulloblastoma surgery at five months of age. The VP shunt was displaced in the Keen’s point region, displayed unusual compressibility and distally extruded through the anus. The patient was then hospitalized and underwent surgery. Under general anesthesia, a small incision was made behind the right ear, allowing for the removal of the reservoir and proximal cerebral shunt. The protruding part of the shunt was gently pulled out through the anus. A three-week follow-up revealed no complications, supporting the efficacy of this minimally invasive approach.
Conclusions: In this case report, we described a unique and successful treatment approach involving only a single incision behind the right ear and extrusion of the catheter through the anus. Although no complications were observed in our patient, further research into the prevalence, risk factors, and long-term outcomes of similar cases is warranted to refine clinical management strategies.
Case Presentation: In this study, the case was a 14-month-old infant who had undergone cerebellar medulloblastoma surgery at five months of age. The VP shunt was displaced in the Keen’s point region, displayed unusual compressibility and distally extruded through the anus. The patient was then hospitalized and underwent surgery. Under general anesthesia, a small incision was made behind the right ear, allowing for the removal of the reservoir and proximal cerebral shunt. The protruding part of the shunt was gently pulled out through the anus. A three-week follow-up revealed no complications, supporting the efficacy of this minimally invasive approach.
Conclusions: In this case report, we described a unique and successful treatment approach involving only a single incision behind the right ear and extrusion of the catheter through the anus. Although no complications were observed in our patient, further research into the prevalence, risk factors, and long-term outcomes of similar cases is warranted to refine clinical management strategies.
Type of Study: Case Report and Review of Literature |
Subject:
Pediatric Neurology
Received: 2024/01/7 | Accepted: 2025/08/17 | Published: 2025/10/18
Received: 2024/01/7 | Accepted: 2025/08/17 | Published: 2025/10/18
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
Copyright © The Author(s);
This is an open access article distributed under the terms of the Creative Commons Attribution License (CC-By-NC),
which permits use, distribution, and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Contact Information
