Retrograde Migration of a Ventriculoperitoneal Shunt Followed by Scrotal Migration after Correction in the Same Infant with Triventricular Hydrocephalus: A Case Report and Review of the Literature

Hydrocephalus is a condition responsible for significant morbidity and mortality, and the most common surgical treatment is ventriculoperitoneal diversion with a drain, which can cause complications such as valve dysfunction, infection, peritoneal pseudocysts, and migration out of the peritoneal cavity. We report in this work a rare case of a newborn, delivered by caesarean section of a carrier of Human Infection Virus(HIV) infection, with congenital triventricular hydrocephalus, treated by ventriculoperitoneal shunt. The surgical course was marked by a retrograde migration followed by a migration into the left scrutom after repositioning the drain.

Ventriculoperitoneal shunt is a surgical treatment of hydrocephalus which appears technically simple, it requires a regular follow-up of the patient because of the complications which can occur, the examination of the drain path must be part of the monitoring factors.