Expanding the differential diagnosis of the acute scrotum: ventriculoperitoneal shunt herniation.

Abstract

An 18-month-old boy presented to the emergency department after 4 hours of inconsolability and acute scrotal swelling. The physical examination revealed a new scrotal hydrocele with migration of a ventriculoperitoneal shunt into the right hemiscrotum. The presence of a ventriculoperitoneal shunt has been associated with increased patency of the processus vaginalis and scrotal hydroceles. The presentation of an acute scrotum in a child with a ventriculoperitoneal shunt should be recognized as a possible shunt complication. Migration of the shunt through the processus vaginalis is an extremely uncommon event.

• Authors: J F Ward, R R Moquin, S T Maurer
• Journal: Urology (Urology) Vol. 58 Issue 2 Pg. 281 (Aug 2001) ISSN: 1527-9995 [Electronic] United States
• PMID: 11489724 (Publication Type: Case Reports, Journal Article)

Topics

• Acute Disease
• Diagnosis, Differential
• Edema (etiology)
• Emergencies
• Foreign-Body Migration (diagnosis, etiology, surgery)
• Genital Diseases, Male (diagnosis)
• Humans
• Infant
• Ligation
• Male
• Scrotum
• Testicular Hydrocele (diagnosis, etiology, surgery)
• Ventriculoperitoneal Shunt (adverse effects)