A rare case of repeated migration and transurethral extrusion of ventriculoperitoneal shunt

• Main Authors: Asra Al Fauzi, NIM. 091170105, Wahjoe Djatisoesanto, NIDN. 8888700016, Joni Wahyuhadi, NIDN. 8885900016, Muhammad Arifin Parenrengi, NIDN. 9907013195, Agus Turchan, NIDN. 8822800016
• Format: Article PeerReviewed
• Language: English; English; English
• Published: Medknow Publications 2017
• Subjects: R Medicine (General); RD Surgery
• Online Access: http://repository.unair.ac.id/88268/1/ARAREC~1.PDF; http://repository.unair.ac.id/88268/2/A%20Rare%20Case%20of%20Repeated%20Migration%20and%20Transurethral.pdf; http://repository.unair.ac.id/88268/3/05%20-%20A%20Rare%20Case%20of%20Repeated%20Migration%20and%20Transurethral%20Extrusion%20of%20Ventriculoperitoneal%20Shunt.pdf; http://repository.unair.ac.id/88268/; http://www.pediatricneurosciences.com/article.asp?issn=1817-1745;year=2017;volume=12;issue=1;spage=96;epage=98;aulast=Al
• Institution: Universitas Airlangga

Bladder migration and transurethral extrusion is an extremely rare complication of ventriculoperitoneal (VP) shunt. Only eight cases have been reported in the English literature since 1995. We report a case of a 4-year-old boy with cerebral palsy, hydrocephalus, and VP shunted on both sides who presented with a protruded distal VP shunt from his urethral orifice. The patient was reported for having previous shunt extrusion through the anus. The patient was treated on by a multidisciplinary approach, involving a neurosurgeon and urologist. Shunt removal with simple procedure was smoothly achieved without morbidities. He was discharged home in satisfactory condition.