Placement of a ventriculoperitoneal (VP) shunt may increase intraabdominal pressure and lead to an abdominal or genitourinary complication. We report on a 2-month-old boy with complex congenital neurologic and cardiac anomalies who had a VP shunt migrate into the left inguinal hernia. This report demonstrates how a laparoscopic approach can be successfully used to reposition the VP shunt, identify a contralateral inguinal hernia, and repair both without any additional incisions.
Get full access to this article
View all access options for this article.
References
1.
SellsCJ, LoeserJD. Peritonitis following perforation of the bowel: A rare complication of a ventriculoperitoneal shunt. J Pediatr, 1973; 83:823–824.
2.
RehmA, BannisterCM, VictoratosG. Scrotal perforation by a ventriculoperitoneal shunt. Br J Neurosurg, 1997; 11:443–444.
3.
PatelCD, MatloubH. Vaginal perforation as a complication of ventriculoperitoneal shunt. J Neurosurg, 1973; 38:761–762.
4.
ClarnetteTD, LamSK, HutsonJM. Ventriculo-peritoneal shunts in children reveal the natural history of closure of the processus vaginalis. J Pediatr Surg, 1998; 33:413–416.
5.
GrosfeldJL, CooneyDR. Inguinal hernia after ventriculoperitoneal shunt for hydrocephalus. J Pediatr Surg, 1974; 9:311.
6.
CelikA, OrkanE, ArdaMS. The incidence of inguinal complications after ventriculoperitoneal shunt for hydrocephalus. Childs Nerv Syst, 2005; 21:44–47.
7.
GeislerDP, JegathesanS, ParmleyMCet al.Laparoscopic exploration for the clinically undetected hernia in infancy and childhood. Am J Surg, 2001; 182:693–696.
8.
ParelkarSV, OakS, GuptaRet al.Laparoscopic inguinal hernia repair in the pediatric age group—Experience with 437 children. J Pediatr Surg, 2010; 45:789–792.
