{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T11:10:34Z","timestamp":1778238634591,"version":"3.51.4"},"reference-count":10,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\n Background:<\/jats:title>\n Ventriculoperitoneal shunts (VPSs) are used for the treatment of hydrocephalus. Among their complications, distal catheter migration with gastric perforation is exceptionally rare.<\/jats:p>\n <\/jats:sec>\n \n Case Description:<\/jats:title>\n The case of a 33-year-old male with a history of VPS placement who attended the hospital with fever and seizures is presented. Gastric perforation secondary to distal catheter migration was diagnosed by computed tomography and upper gastrointestinal endoscopy. Microorganisms were isolated from the valve reservoir, whereas cerebrospinal fluid cultures obtained by lumbar puncture were negative. Antibiotic therapy was administered, followed by complete removal of the shunt system, without the need for gastric wall repair. No postoperative complications were reported. After negative intraoperative cultures were obtained, a new VPS placement was performed.<\/jats:p>\n <\/jats:sec>\n \n Conclusion:<\/jats:title>\n Gastric perforation related to VPS is uncommon and should be considered in patients with unexplained or nonspecific symptoms who carry a VPS. Management should be tailored to the patient\u2019s clinical and infection status.<\/jats:p>\n <\/jats:sec>","DOI":"10.25259\/sni_1432_2025","type":"journal-article","created":{"date-parts":[[2026,5,8]],"date-time":"2026-05-08T10:33:34Z","timestamp":1778236414000},"page":"271","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Gastric perforation due to distal catheter migration in an adult patient with a ventriculoperitoneal shunt: A case report"],"prefix":"10.25259","volume":"17","author":[{"given":"Mauro Tom\u00e1s","family":"Orme\u00f1o Figueroa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yago","family":"Hern\u00e1ndez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sebasti\u00e1n","family":"Nicolau","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wanda Marit\u00e9","family":"Figueroa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walter Javier","family":"Brennan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2026,5,8]]},"reference":[{"key":"10.25259\/SNI_1432_2025\/ref-1","doi-asserted-by":"crossref","first-page":"821","DOI":"10.1002\/ca.22928","article-title":"Migration of the distal catheter of the ventriculoperitoneal shunt in hydrocephalus: A comprehensive analytical review from an anatomical perspective","volume":"30","author":"Allouh","year":"2017","journal-title":"Clin Anat"},{"key":"10.25259\/SNI_1432_2025\/ref-2","doi-asserted-by":"crossref","first-page":"144","DOI":"10.17712\/nsj.2020.2.20190118","article-title":"Gastric perforation by a ventriculoperitoneal shunt in an adult","volume":"25","author":"Chen","year":"2020","journal-title":"Neurosciences (Riyadh)"},{"key":"10.25259\/SNI_1432_2025\/ref-3","doi-asserted-by":"crossref","first-page":"1269","DOI":"10.1007\/s00701-007-1413-9","article-title":"Migration of ventriculoperitoneal shunt into the stomach, presenting with gastric bleeding","volume":"149","author":"Cheng","year":"2007","journal-title":"Acta Neurochir (Wien)"},{"key":"10.25259\/SNI_1432_2025\/ref-4","doi-asserted-by":"crossref","first-page":"1159","DOI":"10.1016\/j.radcr.2018.08.004","article-title":"A ventriculoperitoneal shunt incidentally found in the stomach","volume":"13","author":"Cohen-Addad","year":"2018","journal-title":"Radiol Case Rep"},{"key":"10.25259\/SNI_1432_2025\/ref-5","first-page":"e13230","article-title":"Abdominal complications related to ventriculoperitoneal shunt placement: A comprehensive review of the literature","volume":"13","author":"Ferreira Furtado","year":"2021","journal-title":"Cureus"},{"key":"10.25259\/SNI_1432_2025\/ref-6","doi-asserted-by":"crossref","first-page":"331","DOI":"10.5409\/wjcp.v12.i5.331","article-title":"Migration of the distal ventriculoperitoneal shunt catheter into the stomach with or without transoral extrusion: A systematic literature review and meta-analysis","volume":"12","author":"Ghritlaharey","year":"2023","journal-title":"World J Clin Pediatr"},{"key":"10.25259\/SNI_1432_2025\/ref-7","doi-asserted-by":"crossref","first-page":"543","DOI":"10.2176\/nmc.45.543","article-title":"Peritoneal shunt tube migration into the stomach--case report--","volume":"45","author":"Masuoka","year":"2005","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.25259\/SNI_1432_2025\/ref-8","doi-asserted-by":"crossref","first-page":"4899","DOI":"10.1016\/j.radcr.2022.09.064","article-title":"Gastric perforation from a migrating ventriculoperitoneal shunt: A case report and review of the literature","volume":"17","author":"Scarascia","year":"2022","journal-title":"Radiol Case Rep"},{"key":"10.25259\/SNI_1432_2025\/ref-9","first-page":"e4453","article-title":"Ventriculoperitoneal shunt migration inside the gastric lumen: A rare case report","volume":"11","author":"Sidhu","year":"2019","journal-title":"Cureus"},{"key":"10.25259\/SNI_1432_2025\/ref-10","doi-asserted-by":"crossref","first-page":"e34","DOI":"10.1093\/cid\/ciw861","article-title":"2017 infectious diseases society of America\u2019s clinical practice guidelines for healthcare-associated ventriculitis and meningitis","volume":"64","author":"Tunkel","year":"2017","journal-title":"Clin Infect Dis"}],"container-title":["Surgical Neurology 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