Evidence map›Paper›PMID 40621764›Full record

ReviewCurrent medical imaging2025

Anal Extrusion of Ventriculoperitoneal Shunt Distal Catheter: A Case Report and Literature Review

Jasmine Ahmed Alturaiki, Eissa Alousi, Mustafa Alhelal, Ali AlKhamees, Awn Alessa, Ibrahim Alahmed, Abdulsalam Mohammed Aleid

Abstract readCase ReportsReview
In one paragraph

Review in Current medical imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jasmine Ahmed AlturaikiDepartment of Surgery, King Faisal University, Hofuf, Ahsa, Eastern Province, Saudi Arabia.
Eissa AlousiDepartment of Neurosurgery, King Fahad Hospital, Hofuf, Ahsa, Eastern Province, Saudi Arabia.
Mustafa AlhelalDepartment of Neurosurgery, King Fahad Hospital, Hofuf, Ahsa, Eastern Province, Saudi Arabia.
Ali AlKhameesDepartment of Neurosurgery, King Fahad Hospital, Hofuf, Ahsa, Eastern Province, Saudi Arabia.
Awn AlessaDepartment of Neurosurgery, King Fahad Hospital, Hofuf, Ahsa, Eastern Province, Saudi Arabia.
Ibrahim AlahmedDepartment of Neurosurgery, King Fahad Hospital, Hofuf, Ahsa, Eastern Province, Saudi Arabia.
Abdulsalam Mohammed AleidDepartment of Neurosurgery, Medical College, King Faisal University, Hofuf, Ahsa, Eastern Province, Saudi Arabia.ORCID 0009-0008-3726-5148

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe standard treatment for hydrocephalus is often the placement of a ventriculoperitoneal shunt (VPS), especially in patients with myelomeningocele (MMC). This case report aimed to enrich the existing knowledge by presenting a rare instance of asymptomatic anal extrusion of a VPS catheter in an infant, along with a review of the relevant literature. CASE PRESENTATION: A 2-month-old male infant with myelomeningocele (MMC) and hydrocephalus presented with asymptomatic anal extrusion of his ventriculoperitoneal shunt (VPS) catheter, discovered by his mother. Emergency imaging revealed distal catheter migration through the rectosigmoid junction. Surgical management included (1) laparoscopic-assisted catheter removal with bowel repair using Vicryl sutures, (2) intraoperative external ventricular drain (EVD) placement, and (3) 14-day antibiotic prophylaxis. Cerebrospinal fluid analysis remained normal throughout the treatment. Following three weeks of infection monitoring, contralateral VPS replacement was performed successfully, with postoperative imaging confirming optimal shunt function and resolved hydrocephalus. This case highlighted the importance of caregiver vigilance in identifying this rare but serious complication, even in asymptomatic patients (Fig. 1).

conclusionAlthough anal extrusion of a VPS catheter is an uncommon but serious complication, primarily seen in pediatric patients, it can lead to lifethreatening infections if untreated. Prompt surgical intervention along with broad-spectrum antibiotic therapy is critical. This report highlights the need for recognizing classic symptoms of intestinal perforation and catheter migration in pediatric patients.

Indexed as

Anal CanalForeign-Body MigrationHydrocephalusVentriculoperitoneal ShuntDevice RemovalHumansInfantMaleMeningomyeloceleAnal extrusionBowel perforationCatheter-related infections.External ventricular drain (EVD)HydrocephalusMyelomeningocele (MMC)Pediatric neurosurgeryRare complicationsShunt migrationVentriculoperitoneal shunt (VPS)

Identifiers

PMID40621764
PMCPMC12776562

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.