Abnormal Migration and Extrusion of lower End of Ventriculoperitoneal Shunt into the Mouth

Abstract

A 5-month-old girl, with history of congenital hydrocephalus (as aqueduct stenosis), had surgery at the age of few days as ventriculo -peritoneal shunt (VPS), was inserted on the right side.

Around 4 months later, the baby presented in paediatric emergency with protrusion of distal ventriculo-peritoneal shunt (VPS) tip from mouth after persisting vomiting due to perforation through gastrointestinal tract.

Actually, trans-oral extrusion of ventriculo- peritoneal shunt is a rare condition (1).

Here we report a case, discussing the clinical picture, radiological findings and surgical procedure.

Keywords: Ventriculo- peritoneal Shunt (VPS), extrusion; trans-oral migration, external ventricular drainage (EVD).