{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T23:18:15Z","timestamp":1769728695044,"version":"3.49.0"},"reference-count":20,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"9","license":[{"start":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T00:00:00Z","timestamp":1756684800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2025,9,1]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Distal bowel perforation by peritoneal catheter (BPPC) is a rare complication following ventriculoperitoneal shunt (VPS) placement for the treatment of hydrocephalus. In some cases, BPPC may present with extrusion through the anus and can occur years after VPS placement.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>The authors report the case of a 30-year-old woman who had a VPS placed 8 years prior and found a catheter protruding from her rectum. Having pulled out 1 foot of catheter, she presented to the hospital where the shunt was externalized before concurrent VPS removal and laparotomy to repair the bowel perforation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>BPPC with anal extrusion is a rare complication of VPS that can occur years after shunt placement and can present with a broad array of symptoms. BPPC should remain on the differential for people with VPS and systemic symptoms for the duration of their lives.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE25365\">https:\/\/thejns.org\/doi\/10.3171\/CASE25365<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case25365","type":"journal-article","created":{"date-parts":[[2025,9,1]],"date-time":"2025-09-01T23:49:10Z","timestamp":1756770550000},"source":"Crossref","is-referenced-by-count":0,"title":["Catheter erosion through the rectum 8 years after uncomplicated ventriculoperitoneal shunt placement: illustrative case"],"prefix":"10.3171","volume":"10","author":[{"given":"Matthew","family":"Wierzbicki","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7233-6118","authenticated-orcid":true,"given":"India","family":"Shelley","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthews","family":"Lan","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aria","family":"Mahtabfar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christopher J.","family":"Farrell","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"bib1","series-title":"Interdiscip Neurosurg","first-page":"66","article-title":"Ventriculoperitoneal shunt complications: a review","volume":"13","author":"Paff","year":"2018","unstructured":"Paff MAlexandru-Abrams DMuhonen MLoudon W.Ventriculoperitoneal shunt complications: a review. Interdiscip Neurosurg. 2018;13:66-70."},{"issue":"5","key":"bib2","series-title":"Surg Neurol","first-page":"388","article-title":"Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases","volume":"54","author":"Sathyanarayana","year":"2000","unstructured":"Sathyanarayana SWylen ELBaskaya MKNanda A.Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases. Surg Neurol. 2000;54(5):388-396."},{"issue":"1","key":"bib3","series-title":"J Indian Assoc Pediatr Surg","first-page":"31","article-title":"Perforation into gut by ventricloperitoneal shunts: a report of two cases and review of the literature","volume":"16","author":"Hai","year":"2011","unstructured":"Hai ARab AZGhani IHuda MFQuadir AQ.Perforation into gut by ventricloperitoneal shunts: a report of two cases and review of the literature. J Indian Assoc Pediatr Surg. 2011;16(1):31-33."},{"issue":"1","key":"bib4","series-title":"Neurosurgery","first-page":"ONS76","article-title":"Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment","volume":"58","author":"Vinchon","year":"2006","unstructured":"Vinchon MBaroncini MLaurent TPatrick D.Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment. Neurosurgery. 2006;58(1)(suppl):ONS76-ONS76."},{"issue":"1","key":"bib5","series-title":"Chin Neurosurg J","first-page":"9","article-title":"Ventriculo-peritoneal shunt trans-anal protrusion causing Escherichia coli ventriculitis in child: case report and review of the literature","volume":"3","author":"Liu","year":"2017","unstructured":"Liu YLi CTian Y.Ventriculo-peritoneal shunt trans-anal protrusion causing Escherichia coli ventriculitis in child: case report and review of the literature. Chin Neurosurg J. 2017;3(1):9."},{"issue":"25","key":"bib6","series-title":"J Neurosurg Case Lessons","first-page":"CASE23192","article-title":"Subependymal giant cell astrocytoma in the absence of tuberous sclerosis: illustrative case","volume":"5","author":"Shelley","year":"2023","unstructured":"Shelley IMahtabfar AFarrell CJ.Subependymal giant cell astrocytoma in the absence of tuberous sclerosis: illustrative case. J Neurosurg Case Lessons. 2023;5(25):CASE23192."},{"issue":"6","key":"bib7","series-title":"Pediatr Neurol","first-page":"477","article-title":"Spontaneous bowel perforation from distal catheter leading to meningitis: a rare but frequently overlooked complication of ventriculoperitoneal shunts","volume":"48","author":"Mattei","year":"2013","unstructured":"Mattei TASalma ALin JJ.Spontaneous bowel perforation from distal catheter leading to meningitis: a rare but frequently overlooked complication of ventriculoperitoneal shunts. Pediatr Neurol. 2013;48(6):477-478."},{"issue":"2","key":"bib8","series-title":"Turk Neurosurg","first-page":"285","article-title":"Transoral protrusion of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting: case report and review of the literature","volume":"23","author":"Yilmaz","year":"2013","unstructured":"Yilmaz MBEgemen ETonge MKaymaz M.Transoral protrusion of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting: case report and review of the literature. Turk Neurosurg. 2013;23(2):285-288."},{"issue":"1","key":"bib9","series-title":"J Neurosurg Pediatr","first-page":"36","article-title":"Ventriculoperitoneal shunt perforations of the gastrointestinal tract","volume":"16","author":"Thiong\u2019o","year":"2015","unstructured":"Thiong\u2019o GMLuzzio CAlbright AL.Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr. 2015;16(1):36-41."},{"issue":"2-3","key":"bib10","series-title":"Neurosurg Rev","first-page":"194","article-title":"E. coli meningitis as an indicator of intestinal perforation by V-P shunt tube","volume":"21","author":"Ibrahim","year":"1998","unstructured":"Ibrahim.E. coli meningitis as an indicator of intestinal perforation by V-P shunt tube. Neurosurg Rev. 1998;21(2-3):194-197."},{"key":"bib1","series-title":"Interdiscip Neurosurg","first-page":"66","article-title":"Ventriculoperitoneal shunt complications: a review","volume":"13","author":"Paff","year":"2018","unstructured":"Paff MAlexandru-Abrams DMuhonen MLoudon W.Ventriculoperitoneal shunt complications: a review. Interdiscip Neurosurg. 2018;13:66-70."},{"issue":"5","key":"bib2","series-title":"Surg Neurol","first-page":"388","article-title":"Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases","volume":"54","author":"Sathyanarayana","year":"2000","unstructured":"Sathyanarayana SWylen ELBaskaya MKNanda A.Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases. Surg Neurol. 2000;54(5):388-396."},{"issue":"1","key":"bib3","series-title":"J Indian Assoc Pediatr Surg","first-page":"31","article-title":"Perforation into gut by ventricloperitoneal shunts: a report of two cases and review of the literature","volume":"16","author":"Hai","year":"2011","unstructured":"Hai ARab AZGhani IHuda MFQuadir AQ.Perforation into gut by ventricloperitoneal shunts: a report of two cases and review of the literature. J Indian Assoc Pediatr Surg. 2011;16(1):31-33."},{"issue":"1","key":"bib4","series-title":"Neurosurgery","first-page":"ONS76","article-title":"Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment","volume":"58","author":"Vinchon","year":"2006","unstructured":"Vinchon MBaroncini MLaurent TPatrick D.Bowel perforation caused by peritoneal shunt catheters: diagnosis and treatment. Neurosurgery. 2006;58(1)(suppl):ONS76-ONS76."},{"issue":"1","key":"bib5","series-title":"Chin Neurosurg J","first-page":"9","article-title":"Ventriculo-peritoneal shunt trans-anal protrusion causing Escherichia coli ventriculitis in child: case report and review of the literature","volume":"3","author":"Liu","year":"2017","unstructured":"Liu YLi CTian Y.Ventriculo-peritoneal shunt trans-anal protrusion causing Escherichia coli ventriculitis in child: case report and review of the literature. Chin Neurosurg J. 2017;3(1):9."},{"issue":"25","key":"bib6","series-title":"J Neurosurg Case Lessons","first-page":"CASE23192","article-title":"Subependymal giant cell astrocytoma in the absence of tuberous sclerosis: illustrative case","volume":"5","author":"Shelley","year":"2023","unstructured":"Shelley IMahtabfar AFarrell CJ.Subependymal giant cell astrocytoma in the absence of tuberous sclerosis: illustrative case. J Neurosurg Case Lessons. 2023;5(25):CASE23192."},{"issue":"6","key":"bib7","series-title":"Pediatr Neurol","first-page":"477","article-title":"Spontaneous bowel perforation from distal catheter leading to meningitis: a rare but frequently overlooked complication of ventriculoperitoneal shunts","volume":"48","author":"Mattei","year":"2013","unstructured":"Mattei TASalma ALin JJ.Spontaneous bowel perforation from distal catheter leading to meningitis: a rare but frequently overlooked complication of ventriculoperitoneal shunts. Pediatr Neurol. 2013;48(6):477-478."},{"issue":"2","key":"bib8","series-title":"Turk Neurosurg","first-page":"285","article-title":"Transoral protrusion of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting: case report and review of the literature","volume":"23","author":"Yilmaz","year":"2013","unstructured":"Yilmaz MBEgemen ETonge MKaymaz M.Transoral protrusion of a peritoneal catheter due to gastric perforation 10 years after a ventriculoperitoneal shunting: case report and review of the literature. Turk Neurosurg. 2013;23(2):285-288."},{"issue":"1","key":"bib9","series-title":"J Neurosurg Pediatr","first-page":"36","article-title":"Ventriculoperitoneal shunt perforations of the gastrointestinal tract","volume":"16","author":"Thiong\u2019o","year":"2015","unstructured":"Thiong\u2019o GMLuzzio CAlbright AL.Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr. 2015;16(1):36-41."},{"issue":"2-3","key":"bib10","series-title":"Neurosurg Rev","first-page":"194","article-title":"E. coli meningitis as an indicator of intestinal perforation by V-P shunt tube","volume":"21","author":"Ibrahim","year":"1998","unstructured":"Ibrahim.E. coli meningitis as an indicator of intestinal perforation by V-P shunt tube. Neurosurg Rev. 1998;21(2-3):194-197."}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25365.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25365.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25365.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,1,29]],"date-time":"2026-01-29T11:13:38Z","timestamp":1769685218000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/10\/9\/article-CASE25365.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,9,1]]},"references-count":20,"journal-issue":{"issue":"9"},"URL":"https:\/\/doi.org\/10.3171\/case25365","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,9,1]]}}}