A bizarre reentry phenomenon of distal shunt tip causing shunt malfunction.
BACKGROUND
We report a bizarre presentation of a distal shunt malfunction in a 5-year-old child with a ventriculoperitoneal shunt.


CONCLUSIONS
The plain radiographs done as a workup for possible shunt malfunction demonstrated the distal shunt tip reentering the abdominal wall from inside the peritoneal cavity. We discuss the possible explanation for the phenomenon.


CONCLUSIONS
We conclude that the case is just another reminder of the fact that shunt malfunctions can have multiple presentations; hence, a regular follow-up with appropriate imaging and high index of suspicion is mandatory in preventing morbidities.
Udayakumaran
Suhas
S
Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. dr.suhas@gmail.com
Beni Adani
Liana
L
D034841:Abdominal Cavity / Q000000981:diagnostic imaging; D002648:Child; D020878:Device Removal; D004868:Equipment Failure; D006801:Humans; D010535:Laparoscopy; D008297:Male; D019635:Neurosurgical Procedures; D010529:Peritoneal Cavity / Q000000981:diagnostic imaging; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*