title: Transanal protrusion of ventriculoperitoneal shunt via appendicular perforation: A rare case report.
abstract: Perforation of abdominal viscera and protrusion of the distal end of ventriculoperitoneal shunt (VPS) through natural orifice is well known but rare complication. We report a case of a transanal protrusion of distal end of VPS through appendix perforation without any symptomatology of prior appendicitis. To the best of our knowledge, no case of such kind has been reported in literature yet. The management plan of these patients should be looked in a different way because they may have underlying inflammation of the appendix and distal end of shunt removal should be done by proper surgical exploration followed by added appendicectomy.
authors.affiliation: Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
authors.forename: Shaam
authors.initials: S
authors.lastname: Bodeliwala
authors.affiliation: Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
authors.forename: Atul
authors.initials: A
authors.lastname: Agrawal
authors.affiliation: Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
authors.forename: Amit
authors.initials: A
authors.lastname: Mittal
authors.affiliation: Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
authors.forename: Daljit
authors.initials: D
authors.lastname: Singh
authors.affiliation: Department of Gastrointestinal Surgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
authors.forename: B G
authors.initials: BG
authors.lastname: Vageesh
authors.affiliation: Department of Neurosurgery, G. B. Pant Institute of Postgraduate Education and Research, New Delhi, India.
authors.forename: Hukum
authors.initials: H
authors.lastname: Singh
keywords: Anal protrusion; appendix; complication; hydrocephalus; ventriculoperitoneal shunt