{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T12:02:14Z","timestamp":1787313734081,"version":"build-2736575974"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T00:00:00Z","timestamp":1715731200000},"content-version":"vor","delay-in-days":14,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,5,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>The ventriculoperitoneal shunt procedure represents a frequently conducted neurosurgical intervention; nevertheless, it harbors inherent risks that can precipitate complications in patients. Intestinal perforation accompanied by distal shunt protrusion through the anus is an uncommon phenomenon, observed in ~0.1% to 0.7% of cases, with mortality rates reaching up to 15%. Timely identification and comprehensive management of such complications are imperative to prevent further deterioration of the patient\u2019s condition. Herein, we present a case involving a 1-month-old female infant who presented with a tube protruding from the anal orifice. Immediate surgical intervention was undertaken to remove the distal shunt and prevent further infection in the patient.<\/jats:p>","DOI":"10.1093\/jscr\/rjae306","type":"journal-article","created":{"date-parts":[[2024,4,25]],"date-time":"2024-04-25T07:32:39Z","timestamp":1714030359000},"source":"Crossref","is-referenced-by-count":3,"title":["Anal extrusion of a ventriculoperitoneal shunt in a 1-month-old patient: a case report"],"prefix":"10.1093","volume":"2024","author":[{"given":"I Gusti Ketut Agung Surya","family":"Kencana","sequence":"first","affiliation":[{"name":"Neurosurgery Division , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"},{"name":"Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sri","family":"Maliawan","sequence":"additional","affiliation":[{"name":"Neurosurgery Division , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"},{"name":"Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Lauren","sequence":"additional","affiliation":[{"name":"Neurosurgery Division , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"},{"name":"Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anak Agung Ngurah Agung Harawikrama","family":"Adityawarma","sequence":"additional","affiliation":[{"name":"Neurosurgery Division , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"},{"name":"Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denny","family":"Japardi","sequence":"additional","affiliation":[{"name":"Neurosurgery Division , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"},{"name":"Universitas Udayana, Prof. Dr. I.G.N.G. Ngoerah General Hospital , Department of Surgery, Faculty of Medicine, , Denpasar, Bali , Indonesia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,5,14]]},"reference":[{"key":"2024051513180966100_ref1","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1007\/s00383-007-1916-8","article-title":"Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children","volume":"23","author":"Ghritlaharey","year":"2007","journal-title":"Pediatr Surg Int"},{"key":"2024051513180966100_ref2","first-page":"241","article-title":"Anal protrusion of ventriculo-peritoneal shunt catheter: report of two infants","volume":"2","author":"Yilmaz","year":"2004","journal-title":"J Pediatr Neurol"},{"key":"2024051513180966100_ref3","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1016\/0090-3019(86)90289-2","article-title":"Colonic perforation by ventriculoperitoneal shunts","volume":"25","author":"Snow","year":"1986","journal-title":"Surg Neurol"},{"key":"2024051513180966100_ref4","doi-asserted-by":"crossref","first-page":"446","DOI":"10.4103\/1793-5482.228559","article-title":"Silent migration of ventriculoperitoneal shunt per anus in a child: management and review of literature","volume":"13","author":"Guthe","year":"2018","journal-title":"Asian J Neurosurg"},{"key":"2024051513180966100_ref5","first-page":"53","article-title":"Ventriculoperitoneal shunt migration through the anus in a child: case report and management algorithm","volume":"32","author":"Alhaji","year":"2020","journal-title":"J Adv Med Med Res"},{"key":"2024051513180966100_ref6","first-page":"232","article-title":"Anal extrusion of distal V-P shunt catheter after double perforation of large intestine","volume":"42","author":"Jang","year":"2007","journal-title":"J Korean Neurosurg Soc"},{"key":"2024051513180966100_ref7","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1007\/BF00274086","article-title":"An attempt to prevent the problem of shunt-tube migration","volume":"4","author":"Azzam","year":"1988","journal-title":"Childs Nerv Syst"},{"key":"2024051513180966100_ref8","doi-asserted-by":"crossref","first-page":"82","DOI":"10.1016\/S0377-1237(07)80122-5","article-title":"Unusual complication of ventriculoperitoneal shunt: anal extrusion","volume":"63","author":"Handa","year":"2007","journal-title":"Med J Armed Forces India"},{"key":"2024051513180966100_ref9","doi-asserted-by":"crossref","first-page":"8251","DOI":"10.4076\/1757-1626-2-8251","article-title":"Spontaneous bowel perforation complicating ventriculoperitoneal shunt: a case report","volume":"2","author":"Birbilis","year":"2009","journal-title":"Cases J"},{"key":"2024051513180966100_ref10","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4103\/0971-9261.74521","article-title":"Perforation into gut by ventriculoperitoneal shunts: a report of two cases and review of the literature","volume":"16","author":"Hai","year":"2011","journal-title":"J Indian Assoc Pediatr Surg"},{"key":"2024051513180966100_ref11","doi-asserted-by":"crossref","first-page":"288","DOI":"10.1016\/0090-3019(90)90051-P","article-title":"Intestinal perforation by peritoneal shunt tubing: report of two cases","volume":"33","author":"Hornig","year":"1990","journal-title":"Surg Neurol"},{"key":"2024051513180966100_ref12","doi-asserted-by":"crossref","first-page":"361","DOI":"10.4103\/0976-3147.102628","article-title":"Unusual complications of ventriculo peritoneal shunt surgery","volume":"3","author":"Teegala","year":"2012","journal-title":"J Neurosci Rural Pract"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/5\/rjae306\/57655097\/rjae306.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2024\/5\/rjae306\/57655097\/rjae306.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,15]],"date-time":"2024-05-15T10:40:38Z","timestamp":1715769638000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjae306\/7672957"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,5]]},"references-count":12,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,5,2]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjae306","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,5]]},"published":{"date-parts":[[2024,5]]},"article-number":"rjae306"}}