title: A bizarre reentry phenomenon of distal shunt tip causing shunt malfunction.
abstract: 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.
authors.affiliation: Department of Pediatric Neurosurgery, Dana Children's Hospital, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel. dr.suhas@gmail.com
authors.forename: Suhas
authors.initials: S
authors.lastname: Udayakumaran
authors.forename: Liana
authors.initials: L
authors.lastname: Beni Adani
mesh_terms: 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*