Abstract
Introduction: Placing an intracranial shunt, may be a
reasonable approach to decrease the complications of hydrocephalus and
it can be done either simultaneous to cranioplasty or not.
Ventriculoperitoneal shunts were first proposed in 1905 and has been
used since. Similar to any other procedure, there are different
complications to this surgery. Abdominal complications, including
peritoneal pseudocysts, intestinal volvulus, protruding in hernial sac
or extrusion through vagina, scrotum, umbilicus or gastrointestinal
tract, are rare but according to previous studies happen in 5-47 % of
cases. Bowel perforation Is a rare complication and can happen in 0.01
to 0.07% fo patients. It’s also worth mentioning that only 25 percent
of patients with bowel perforation experience the classic clinical
symptoms of peritonitis or bowel perforation. This particular
complication should not be overlooked since it can cause a high
mortality rate of 15%.
Case presentation : Here we present a case of transanal
protrusion of vps shunt after a asymptomatic bowel perforation, in an
adult who has undergone surgery after a traumatic brain injury.
The patient has underwent surgery and lastly the shunt was manually
removed from anus. He was monitored for 3 days and eventually
discharged.