title: Laparoscopy for a ventriculoperitoneal shunt tube dislocated into the colon.
abstract: BACKGROUND
  Implantation of a ventriculoperitoneal (VP) shunt is a standard procedure for hydrocephalus. Different complications can occur, one of them being migration of the distal end of the tube.
  
  
  METHODS
  The abdominal end of a VP shunt tube had migrated into the descending colon. In a laparoscopic procedure, the shunt was retrieved, and the colonic perforation site was resected. The patient had a favorable outcome.
  
  
  CONCLUSIONS
  Laparoscopy can play a key role and is recommended not only to make an exact diagnosis, but also for definite, safe, and trauma-minimizing treatment of intraabdominal VP shunt dysfunction.
authors.affiliation: Department of Abdominal, Vascular and Transplant Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, Germany; Department of General, Visceral, Vascular and Thoracic Surgery, Clinic of Kempten, Kempten, Germany; Klinik für Viszeral-, Gefäß- und Transplantationschirurgie, Kliniken der Stadt Köln, Krankenhaus Merheim, 51058 Köln, Germany. jurgen.knuth@gmx.net.
authors.forename: Jurgen
authors.initials: J
authors.lastname: Knuth
authors.affiliation: Department of Neurosurgery, Cologne-Merheim Medical Center, Cologne, Germany.
authors.forename: Michael
authors.initials: M
authors.lastname: Detzner
authors.affiliation: Department of Abdominal, Vascular and Transplant Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, Germany.
authors.forename: Markus M
authors.initials: MM
authors.lastname: Heiss
authors.affiliation: Department of Neurosurgery, Cologne-Merheim Medical Center, Cologne, Germany.
authors.forename: Friedrich
authors.initials: F
authors.lastname: Weber
authors.affiliation: Department of Abdominal, Vascular and Transplant Surgery, University of Witten/Herdecke, Cologne-Merheim Medical Center, Cologne, Germany.
authors.forename: Dirk R
authors.initials: DR
authors.lastname: Bulian
mesh_terms: D000328:Adult; D003106:Colon; D004868:Equipment Failure; D005260:Female; D005548:Foreign-Body Migration / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation*