{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T20:38:54Z","timestamp":1767991134352,"version":"3.49.0"},"reference-count":19,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n In the complex management of hydrocephalus, ventriculoperitoneal (VP) shunt insertion is the mainstay for cerebrospinal fluid (CSF) diversion. However, when traditional routes fail or are contraindicated \u2013 due to congenital abnormalities, infections, extensive adhesions, or previous abdominal surgeries \u2013 surgeons must consider less conventional alternatives. The second line is the ventriculo-atrial shunt then the ventriculo-pleural. The ventriculo-gallbladder (VG) shunt, although rarely used, presents a fascinating option with unique physiological advantages. Here, we present an interesting case of VG shunt insertion in King Faisal specialist hospital, Jeddah.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n We present the case of a 12-year-old female with a complex history, including myelomeningocele repair at birth, hydrocephalus managed through multiple VP shunt revisions, and end-stage renal disease. Admitted under general pediatrics with peritonitis, she was treated with a temporary external ventricular drain and VP shunt. However, rapid abdominal distention ensued, and imaging revealed adhesions and collections, ruling out the peritoneum as a feasible shunt site. Given her complex anatomy and limited options, a VG shunt was chosen. Remarkably, at a 3-month follow-up, the patient demonstrated full stability with excellent VG shunt function, highlighting the gallbladder\u2019s potential as a reliable CSF reservoir.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n The VG shunts have a promising results in terms of absorption and complication rate as documented in the literature. In patients who failed the other commonly used cavities, the gallbladder is a safe and effective organ for absorption.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1076_2025","type":"journal-article","created":{"date-parts":[[2026,1,9]],"date-time":"2026-01-09T15:13:02Z","timestamp":1767971582000},"page":"14","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Ventriculo gallbladder shunt as an alternative cerebrospinal fluid diversionary procedure"],"prefix":"10.25259","volume":"17","author":[{"given":"Muhammad","family":"Adil","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, King Faisal Specialist Hospital, Jeddah, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fahad M.","family":"Okal","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, King Abdulaziz Medical City, Jeddah, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lamair A.","family":"Albakri","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Makkah Health Cluster, Jeddah, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammed","family":"Homoud","sequence":"additional","affiliation":[{"name":"Department of Neurosciences, King Faisal Specialist Hospital, Jeddah, Makkah, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,1,9]]},"reference":[{"key":"10.25259\/SNI_1076_2025\/ref-1","doi-asserted-by":"crossref","first-page":"1525","DOI":"10.1007\/s00381-024-06297-9","article-title":"Ventriculo-gallbladder shunt: Case series and literature review","volume":"40","author":"Afornali","year":"2024","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_1076_2025\/ref-2","doi-asserted-by":"crossref","first-page":"284","DOI":"10.3171\/PED\/2008\/1\/5\/284","article-title":"Ventriculogallbladder shunts in pediatric patients","volume":"1","author":"Aldana","year":"2008","journal-title":"J Neurosurg Pediatr"},{"key":"10.25259\/SNI_1076_2025\/ref-3","doi-asserted-by":"crossref","first-page":"e234775","DOI":"10.1136\/bcr-2020-234775","article-title":"Management of ventriculo-gallbladder shunt in the presence of gallstones","volume":"13","author":"Alraee","year":"2020","journal-title":"BMJ Case Rep"},{"key":"10.25259\/SNI_1076_2025\/ref-4","doi-asserted-by":"crossref","first-page":"466","DOI":"10.1227\/00006123-199403000-00012","article-title":"Cerebrospinal fluid pH and PCO2 rapidly follow arterial blood pH and PCO2 with changes in ventilation","volume":"34","author":"Andrews","year":"1994","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_1076_2025\/ref-5","doi-asserted-by":"crossref","first-page":"31","DOI":"10.1016\/0090-3019(85)90156-9","article-title":"Ventriculocholecystic shunt. 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