We describe a case of a ventriculoperitoneal shunt malfunction in which the tip of the peritoneal catheter found its way to the paraspinal subcutaneous tissues. The specific findings on physical examination and the results of the imaging made to make the diagnosis are presented. No prior report of migrating shunt tubing into this anatomic area was found in the literature. This curiosity is added to the list of organs or spaces shunts are capable of wandering into.

1.
Martinez-Lage J, Poza M, Izura V: Retrograde migration of the abdominal catheter as a complication of ventriculoperitoneal shunts: the fishhook sign. Childs Nerv Syst 1995;9:425-427.
2.
Kim KJ, Wang KC, Cho BK: Proximal migration and subcutaneous coiling of a peritoneal catheter: report of two cases. Childs Nerv Syst 1995;11:428-431.
3.
Gan YC, Steinbok P: Migration of the peritoneal tip of a ventriculoperitoneal catheter causing shunt malfunction. J Neurosurg 2006;105(suppl):153.
4.
Borkar SA, Satyarethee GD, Khan RN, Sharma BS, Mahapatra AK: Spontaneous extrusion of migrated ventriculoperitoneal shunt catheter through chest wall: a case report. Turk Neurosurg 2008;18:95-98.
5.
Wani AA, Ramzan A, Wani MA: Protrusion of a peritoneal catheter through the umbilicus: an unusual complication of a ventriculoperitoneal shunt. Pediatr Surg Int 2002;18:171-172.
6.
Low SW, Sein L, Yeo TT, Chou N: Migration of the abdominal catheter of a ventriculoperitoneal shunt into the mouth: a rare presentation. Malays J Med Sci 2010;17:64-67.
7.
Nagulic M, Djordjevic M, Samardzic M: Peritoneo-vulvar catheter extrusion after shunt operation. Childs Nerv Syst 1996;12:222-223.
8.
Rizk E, Dias MS, Verbrugge J, Boop FA: Intracardiac migration of a distal shunt catheter: an unusual complication of ventricular shunts. Report of two cases. J Neurosurg Pediatrics 2009;3:525-528.
Copyright / Drug Dosage / Disclaimer
Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.
You do not currently have access to this content.