{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:47:48Z","timestamp":1782506868027,"version":"3.54.5"},"reference-count":8,"publisher":"Oxford University Press (OUP)","issue":"6","license":[{"start":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T00:00:00Z","timestamp":1782432000000},"content-version":"vor","delay-in-days":26,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,5,31]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Ventriculoperitoneal shunts are the most common treatment for hydrocephalus but carry rare, potentially life-threatening complications, including bowel perforation. Transmural erosion may occur insidiously without peritonitis due to gradual migration and fibrotic encapsulation, making diagnosis challenging. We report a rare case of transcolonic VP shunt migration with extrusion through a colostomy in a 40-year-old man with spina bifida and a hostile abdominal surgical history. He presented with distal catheter protrusion from his stoma and cerebrospinal fluid drainage into the ostomy appliance. Imaging revealed dense calcification along the shunt tract with proper positioning intracranially. Cerebrospinal fluid cultures grew Pseudomonas and vancomycin-resistant Enterococcus faecium, requiring culture-directed antimicrobial therapy. Management required multidisciplinary coordination, including emergent shunt externalization, external ventricular drain placement, exploratory laparotomy with adhesiolysis, colotomy repair, and partial hardware removal. This case underscores the extreme rarity and complexity of enteric shunt perforation and the importance of coordinated medical and surgical care.<\/jats:p>","DOI":"10.1093\/jscr\/rjag518","type":"journal-article","created":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T11:44:21Z","timestamp":1781178261000},"source":"Crossref","is-referenced-by-count":0,"title":["From ventricle to stoma: a rare case of ventriculoperitoneal shunt extrusion through a colostomy"],"prefix":"10.1093","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0453-6860","authenticated-orcid":false,"given":"Sean","family":"Hormozian","sequence":"first","affiliation":[{"name":"Department of Surgery, Arrowhead Regional Medical Center , Colton, CA 92324 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elias","family":"Wassel","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowhead Regional Medical Center , Colton, CA 92324 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Neda","family":"Salami","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowhead Regional Medical Center , Colton, CA 92324 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Tang","sequence":"additional","affiliation":[{"name":"School of Medicine, St. George\u2019s University , Grenada ,","place":["West Indies"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric","family":"Liou","sequence":"additional","affiliation":[{"name":"Department of Medicine, Noorda College of Osteopathic Medicine , Provo, UT 84606 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan","family":"Basham","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowhead Regional Medical Center , Colton, CA 92324 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brandon","family":"Woodward","sequence":"additional","affiliation":[{"name":"Department of Surgery, Arrowhead Regional Medical Center , Colton, CA 92324 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,6,26]]},"reference":[{"key":"2026062616094219300_ref1","first-page":"50","article-title":"Abdominal complications of ventriculoperitoneal shunts. Case reports and review of the literature","volume":"54","author":"Bryant","year":"1988","journal-title":"Am Surg"},{"key":"2026062616094219300_ref2","doi-asserted-by":"publisher","first-page":"e13230","DOI":"10.7759\/cureus.13230","article-title":"Abdominal complications related to ventriculoperitoneal shunt placement: a comprehensive review of literature","volume":"13","author":"Ferreira Furtado","year":"2021","journal-title":"Cureus"},{"key":"2026062616094219300_ref3","doi-asserted-by":"publisher","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":"2026062616094219300_ref4","doi-asserted-by":"publisher","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":"2026062616094219300_ref5","doi-asserted-by":"publisher","first-page":"232","DOI":"10.1159\/000454987","article-title":"Endoscopic management of colonic perforation due to ventriculoperitoneal shunt: case report and literature review","volume":"24","author":"Alves","year":"2017","journal-title":"GE Port J Gastroenterol"},{"key":"2026062616094219300_ref6","doi-asserted-by":"publisher","first-page":"246","DOI":"10.4103\/1793-5482.161321","article-title":"Shunt tube calcification as a late complication of ventriculoperitoneal shunting","volume":"10","author":"Salim","year":"2015","journal-title":"Asian J Neurosurg"},{"key":"2026062616094219300_ref7","doi-asserted-by":"publisher","first-page":"8","DOI":"10.4103\/JPN.JPN_97_17","article-title":"Anal extrusion of ventriculoperitoneal shunt: a report of two cases and review of literature","volume":"13","author":"Hasan","year":"2018","journal-title":"J Pediatr Neurosci"},{"key":"2026062616094219300_ref8","doi-asserted-by":"publisher","first-page":"1521","DOI":"10.18203\/2349-2902.isj20252687","article-title":"Bowel perforation by ventriculoperitoneal shunt: report of three cases","volume":"12","author":"Wasadikar","year":"2025","journal-title":"Int Surg J"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag518\/68629930\/rjag518.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2026\/6\/rjag518\/68629930\/rjag518.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T20:09:49Z","timestamp":1782504589000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjag518\/8719258"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,5,31]]},"references-count":8,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,5,31]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjag518","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2026,6]]},"published":{"date-parts":[[2026,5,31]]},"article-number":"rjag518"}}