[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-455735-105":59,"doc-detail-455735-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","anal-extrusion-of-ventriculoperitoneal-shunt-distal-catheter-a-case-report-and-literature-review","Anal Extrusion of Ventriculoperitoneal Shunt Distal Catheter - A Case Report and Literature Review","","Standard management of hydrocephalus often involves ventriculoperitoneal shunt (VPS) placement, particularly in infants with myelomeningocele. This case report describes a rare, asymptomatic anal extrusion of the VPS distal catheter in a 2-month-old male, with imaging demonstrating distal migration through the rectosigmoid junction. Urgent laparoscopic-assisted removal, bowel repair, intraoperative EVD placement, and 14-day broad-spectrum antibiotic prophylaxis were performed. After infection monitoring, contralateral VPS replacement restored shunt function and resolved hydrocephalus.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/anal-extrusion-of-ventriculoperitoneal-shunt-distal-catheter-a-case-report-and-literature-review/455735/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/anal-extrusion-of-ventriculoperitoneal-shunt-distal-catheter-a-case-report-and-literature-review/455735.png","ImageObject",300,407,{"name":92,"@type":93},"Ophelia","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-06","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":29},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What complication is reported in this case?","Question",{"text":112,"@type":113},"The report describes asymptomatic anal extrusion of a ventriculoperitoneal shunt (VPS) distal catheter in an infant.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How was the complication diagnosed?",{"text":117,"@type":113},"Imaging confirmed distal catheter migration through the rectosigmoid junction after the catheter was noticed protruding from the anus.",{"name":119,"@type":110,"acceptedAnswer":120},"What treatment steps were performed?",{"text":121,"@type":113},"The distal catheter was removed surgically with bowel repair, an intraoperative EVD was placed, and the patient received 14 days of broad-spectrum antibiotics before contralateral VPS replacement.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},455735,1790803605,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":29,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":39,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":46},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","[1573-4056/25](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[ Send Orders for Reprints to](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[ ](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)[reprints@benthamscience.net](1573-4056/25 Send Orders for Reprints to reprints@benthamscience.net)  \n1  \nCurrent Medical Imaging  \nContent list available at: [https://benthamscience.com/journals/cmir](https://benthamscience.com/journals/cmir)  \nCASE REPORT  \nAnal Extrusion of Ventriculoperitoneal Shunt Distal Catheter: A Case Report and Literature Review  \nJasmine Ahmed Alturaiki 1, Eissa Alousi2, Mustafa Alhelal2, Ali Alkhamees2, Awn Alessa2, Ibrahim Alahmed2 and  \nAbdulsalam Mohammed Aleid3,*  \n1Department of Surgery, King Faisal University, Al-Hofuf, Ahsa, Eastern Province, Saudi Arabia 2Department of Neurosurgery, King Fahad Hospital, Al-Hofuf, Ahsa, Eastern Province, Saudi Arabia  \n3Department of Neurosurgery, Medical College, King Faisal University, Al-Hofuf, Ahsa, Eastern Province, Saudi Arabia  \nAbstract:  \nBackground:  \nThe standard treatment for hydrocephalus is often the placement of a ventriculoperitoneal shunt (VPS), especially in patients with myelomeningocele (MMC) . This case report aimed to enrich the existing knowledge by presenting a rare instance of asymptomatic anal extrusion of a VPS catheter in an infant, along with a review of the relevant literature.  \nCase Presentation:  \nA 2-month-old male infant with myelomeningocele (MMC) and hydrocephalus presented with asymptomatic anal extrusion of his ventriculoperitoneal shunt (VPS) catheter, discovered by his mother. Emergency imaging revealed distal catheter migration through therectosigmoid junction. Surgical management included (1) laparoscopic-assisted catheter removal with bowel repair using Vicryl sutures, (2) intraoperative external ventricular drain (EVD) placement, and (3) 14-day antibiotic prophylaxis. Cerebrospinal fluid analysis remained normal throughout the treatment. Following three weeks of infection monitoring, contralateral VPS replacement was performed successfully, with postoperative imaging confirming optimal shunt function and resolved hydrocephalus. This case highlighted the importance of caregiver vigilance in identifying this rare but serious complication, even in asymptomatic patients (Fig. 1) .  \nConclusion:  \nAlthough anal extrusion of a VPS catheter is an uncommon but serious complication, primarily seen in pediatric patients, it can lead to lifethreatening infections if untreated. Prompt surgical intervention along with broad-spectrum antibiotic therapy is critical. This report highlights the need for recognizing classic symptoms of intestinal perforation and catheter migration in pediatric patients.  \nKeywords: Ventriculoperitoneal shunt (VPS), Anal extrusion, Bowel perforation, Hydrocephalus, Myelomeningocele (MMC), Shunt migration, Pediatric neurosurgery, External ventricular drain (EVD), Rare complications, Catheter-related infections.  \n\n| Article History | Received: February 24, 2025 | Revised: April 11, 2025 | Accepted: April 24, 2025 |\n| --- | --- | --- | --- |\n\n1. INTRODUCTION  \nHydrocephalus is marked by elevated intracranial pressure due to an abnormality in cerebrospinal fluid (CSF) flow. It is categorized into two types: communicating and noncommunicating hydrocephalus. Treatment options include CSF shunting, endoscopic third ventriculostomy (ETV), and choroid plexus cauterization; however, the ventriculoperitoneal shunt (VPS) is the most widely used surgical intervention. Although  \n* Address correspondence to this author at the Department of Neurosurgery, Medical College, King Faisal University, Al-Hofuf, Ahsa, Eastern Province, Saudi Arabia; [E-mail: Abdulsalamaleid@abjad.bio](E-mail: Abdulsalamaleid@abjad.bio)  \nVPS is generally effective, it is associated with a range of complications, including shunt malfunction, blockage, infection, and over-drainage, as we","cbCaiomTPRYkfnlc","https://ap.wps.com/l/cbCaiomTPRYkfnlc","pdf",6903565,"English","# Abstract\n## Background\n## Case Presentation\n## Conclusion\n# Introduction\n# Case Report\n## Medical, Family, and Psychosocial History","[{\"question\":\"What complication is reported in this case?\",\"answer\":\"The report describes asymptomatic anal extrusion of a ventriculoperitoneal shunt (VPS) distal catheter in an infant.\"},{\"question\":\"How was the complication diagnosed?\",\"answer\":\"Imaging confirmed distal catheter migration through the rectosigmoid junction after the catheter was noticed protruding from the anus.\"},{\"question\":\"What treatment steps were performed?\",\"answer\":\"The distal catheter was removed surgically with bowel repair, an intraoperative EVD was placed, and the patient received 14 days of broad-spectrum antibiotics before contralateral VPS replacement.\"}]","Anal Extrusion of Ventriculoperitoneal Shunt Distal Catheter - A Case Report and Literature Review | PDF",1790744066]