Catheter erosion through the rectum 8 years after uncomplicated ventriculoperitoneal shunt placement: illustrative case.
Publication/Presentation Date
9-1-2025
Abstract
BACKGROUND: Distal bowel perforation by peritoneal catheter (BPPC) is a rare complication following ventriculoperitoneal shunt (VPS) placement for the treatment of hydrocephalus. In some cases, BPPC may present with extrusion through the anus and can occur years after VPS placement.
OBSERVATIONS: The authors report the case of a 30-year-old woman who had a VPS placed 8 years prior and found a catheter protruding from her rectum. Having pulled out 1 foot of catheter, she presented to the hospital where the shunt was externalized before concurrent VPS removal and laparotomy to repair the bowel perforation.
LESSONS: BPPC with anal extrusion is a rare complication of VPS that can occur years after shunt placement and can present with a broad array of symptoms. BPPC should remain on the differential for people with VPS and systemic symptoms for the duration of their lives. https://thejns.org/doi/10.3171/CASE25365.
Volume
10
Issue
9
ISSN
2694-1902
Published In/Presented At
Wierzbicki, M., Shelley, I., Lan, M., Mahtabfar, A., & Farrell, C. J. (2025). Catheter erosion through the rectum 8 years after uncomplicated ventriculoperitoneal shunt placement: illustrative case. Journal of neurosurgery. Case lessons, 10(9), CASE25365. https://doi.org/10.3171/CASE25365
Disciplines
Medicine and Health Sciences
PubMedID
40889386
Department(s)
Department of Surgery
Document Type
Article