{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T16:36:57Z","timestamp":1787071017479,"version":"build-2736575974"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2021,9]]},"abstract":"<jats:p>Cerebrospinal fluid shunts provide many and different complications. Only 1\u20133% of them are rare, related to migration, and perforation of hollow organs. Even more unusual are the complications associated with the distal catheter leaving the peritoneal cavity and the tip migrating through some of the anatomical foramens to the muscle layers on the back. We present a rare complication, migration of the distal lumboperitoneal shunt catheter through the retroperitoneum and the gluteal muscles to the hypoderma. The peritoneal catheter entered the retroperitoneal area, passed through the greater sciatic foramen below the piriformis, and through the gluteal muscles, before it reached the hypodermal area. Despite the continuous improvement of the material of flexible silicone catheters, injuries of hollow organs with subsequent migration to unusual areas still occur. Our case is the only one that has been reported, in which the catheter made its way through the retroperitoneum and the gluteal muscles.<\/jats:p>","DOI":"10.4103\/0028-3886.329540","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T15:07:26Z","timestamp":1725721646000},"page":"1394-1396","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Retroperitoneal Migration And Transgluteal Extrusion of a Distal Lumboperitoneal Shunt Catheter: An Unusual Complication of Cerebrospinal Fluid Shunt"],"prefix":"10.4103","volume":"69","author":[{"given":"Surchev K","family":"Jivko","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, University Hospital, St. Ivan Rilski, Medical University, Sofia, Bulgaria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2021,10,30]]},"reference":[{"key":"R1-20250925","doi-asserted-by":"crossref","first-page":"2123","DOI":"10.1007\/s00381-015-2865-5","article-title":"Shunt revision requirements after posthemorrhagic hydrocephalus of prematurity: Insight into the time course of shunt dependency","volume":"31","author":"Wang","year":"2015","journal-title":"Childs Nerv Syst"},{"key":"R2-20250925","doi-asserted-by":"crossref","first-page":"72","DOI":"10.1016\/j.pjnns.2016.11.007","article-title":"Different origins of hydrocephalus lead to different shunt revision rates","volume":"51","author":"Kaestner","year":"2017","journal-title":"Neurol Neurochir Pol"},{"key":"R3-20250925","doi-asserted-by":"crossref","first-page":"224","DOI":"10.1097\/00127927-200207030-00010","article-title":"Complications of ventricular shunts","volume":"7","author":"Weprin","year":"2002","journal-title":"Tech Neurosurg"},{"key":"R4-20250925","doi-asserted-by":"crossref","first-page":"e131","DOI":"10.1016\/j.wneu.2018.07.073","article-title":"Migration of the distal catheter of ventriculoperitoneal shunts in pediatric age group: Case series","volume":"119","author":"Ezzat","year":"2018","journal-title":"World Neurosurg"},{"key":"R5-20250925","doi-asserted-by":"crossref","first-page":"85","DOI":"10.4103\/0028-3886.253968","article-title":"Shunt migration in ventriculoperitoneal shunting: A comprehensive review of literature","volume":"67","author":"Harischandra","year":"2019","journal-title":"Neurol India"},{"key":"R6-20250925","doi-asserted-by":"crossref","first-page":"317","DOI":"10.4103\/JPN.JPN_18_18","article-title":"Abnormal migration and extrusion of abdominal end of ventriculoperitoneal shunt: An experience of eight cases","volume":"13","author":"Chugh","year":"2018","journal-title":"J Pediatr Neurosci"},{"key":"R7-20250925","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1159\/000356361","article-title":"Retroperitoneal, paraspinal migration of distal ventriculoperitoneal shunt catheter: A peculiar complication of cerebrospinal fluid shunt","volume":"49","author":"Greene","year":"2013","journal-title":"Pediatr Neurosurg"},{"key":"R8-20250925","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"},{"key":"R9-20250925","first-page":"100","article-title":"Extremely rare complications in cerebrospinal fluid shunt operations","volume":"46","author":"Surchev","year":"2002","journal-title":"J Neurosurg Sci"},{"key":"R10-20250925","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1007\/s00381-012-1684-1","article-title":"Ventriculoperitoneal shunt catheter protrusion through the anus","volume":"28","author":"Borkar","year":"2012","journal-title":"Childs Nerv Syst"}],"container-title":["Neurology India"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.329540","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T15:40:23Z","timestamp":1787067623000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/0028-3886.329540"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,9]]},"references-count":10,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2021]]}},"URL":"https:\/\/doi.org\/10.4103\/0028-3886.329540","relation":{},"ISSN":["0028-3886","1998-4022"],"issn-type":[{"value":"0028-3886","type":"print"},{"value":"1998-4022","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,9]]},"assertion":[{"value":"2017-12-13","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2019-10-07","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}