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Enterocutaneous fistula leading to sinus formation in the root of penis due to non-functioning ventriculoperitoneal shunt

Abstract

Hridayesh Pratap Malla

Background: Abdominal complications of ventriculoperitoneal shunt are commonly reported but asymptomatic bowel perforation with enterocutaneous fistula is rare. Case presentation: This case describes a 33-years-old male patient who had undergone ventriculperitoneal shunt for hydrocephalus 10 years back. He presented with enterocutaneous fistula resulting sinus formation at the root of the penis due to the nonfunctioning peritoneal end of the shunt. Patient was managed with removal of the peritoneal end along with laparotomy with take down of fistula with bowel resection and anastomosis. Conclusion: Asymptomatic bowel perforation due to peritoneal end of shunt system and enterocutaneous fistula are although rare but possible complications of ventriculoperitoneal shunt.

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