title: Endoscopic management of anal protrusion of ventriculo-peritoneal shunt.
abstract: A 2-year-old male child, who was operated on 18 months earlier for tuberculous meningitis with hydrocephalus by placement of a ventriculo-peritoneal shunt, presented with the lower end of the shunt tube coming out through the anus. Colonoscopy showed the shunt tube coming out through the colon 22 cm from the anal opening. The cranial end, along with a malfunctioning valve, were disconnected surgically, and the shunt was removed endoscopically using a pediatric flexible colonoscope.
authors.affiliation: Department of Neurosurgery, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Sion, Mumbai 400 022. alok276@hotmail.com
authors.forename: Alok
authors.initials: A
authors.lastname: Sharma
authors.forename: Ajay Kumar
authors.initials: AK
authors.lastname: Pandey
authors.forename: Mahesh
authors.initials: M
authors.lastname: Radhakrishnan
authors.forename: Dharam
authors.initials: D
authors.lastname: Kumbhani
authors.forename: Haribhakti Seba
authors.initials: HS
authors.lastname: Das
authors.forename: Nutan
authors.initials: N
authors.lastname: Desai
mesh_terms: D002675:Child, Preschool; D016145:Endoscopy, Digestive System; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*