Affiliations: Departments of Neurosurgery, Yüzüncü
Yıl University, Faculty of Medicine, Van, Turkey | Departments of Pediatric Neurology,
Yüzüncü Yıl University, Faculty of Medicine, Van,
Turkey
Note: [] Correspondence: Dr. Nebi Yılmaz Yüzüncü
Yıl University Faculty of Medicine Department of Neurosurgery 65200,
Van, Turkey. Tel: +90 432 2164710, fax: +90 432 2167519. E-mail:
bozcayazi68@hotmail.com
Abstract: In general, treatment of hydrocephalus requires the application of a
ventriculo-peritoneal shunt. Despite the peritoneal cavity being convenient for
absorption of cerebrospinal fluid, multiple complications related to the shunt
tends to develop within this area. The most frequent complications are
abdominal. A rare complication can occurs with perforation of the organs
located in peritoneal cavity by the catheter when infection occurs. Here we
report two cases (because of unusual presentation) of shunt complication, they
were operated for hydrocephalus. Acute traumatic anal protrusion of the
peritoneal catheter occurred in the first case while a spontaneous anal
protrusion during follow-up period, in the second case. The predisposing
factors were thought to be previous abdominal infection and the use of trocar
during operation in the first case and chronic irritative effect of the
ventriculo-peritoneal catheter in the second case. (J Pediatr Neurol 2004;
2(4): 241–244).
