Urethral migration of a ventriculoperitoneal shunt in a 6-month-Old female infant: A rare complication of hydrocephalus management

Abstract

Hydrocephalus, occurring in 0.9–1.8 per 1000 births, is managed through ventriculoperitoneal shunt placement. This intervention carries potential complications, with migration and infection being predominant concerns.

6-month-old female infant presented with VP shunt migration through the urethra, 5 months after hydrocephalus treatment. Clinical manifestations included irritability, mild fever, vomiting, and tense, bulging fontanelle. Laboratory findings revealed elevated white blood cell count of 21,000/mm³ and positive microbiological cultures. Surgical intervention involved catheter removal, and shunt revision.

This rare case of VP shunt urethral migration highlights the critical importance of vigilant monitoring and prompt, multidisciplinary intervention in pediatric neurosurgery.