Transanal protrusion of subdural peritoneal shunt in the setting of appendicitis

• Main Authors: Joseph Sujka (Author), Richard Sola, Jr (Author), David Juang (Author)
• Format: Book
• Published: Elsevier, 2018-07-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 2213-5766; 10.1016/j.epsc.2018.05.001
• Keywords: Anal protrusion; Subdural peritoneal shunt; Appendicitis; Complication; Pediatrics; RJ1-570; Surgery; RD1-811
• Source: Journal of Pediatric Surgery Case Reports, Vol 34, Iss C, Pp 35-36 (2018)

Complications from shunts placed in the peritoneum, either ventriculoperitoneal or subdural, are varied. Perforation of hollow organs and subsequent natural orifice protrusion is a rare but well known complication. We report a case of a transanal protrusion of a subdural peritoneal shunt in the setting of previous abdominal pain possibly consistent with acute appendicitis. While a report of transanal protrusion of a ventriculoperitoneal shunt via the appendix has been reported this is the first report where abdominal inflammation was also present. While patients with hollow organ perforation have been described as being managed conservatively after externalization of the proximal shunt and removal of the distal shunt, we managed our patient with an operation given our concern for appendicitis.