{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T22:34:26Z","timestamp":1775514866541,"version":"3.50.1"},"reference-count":13,"publisher":"International College of Surgeons","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2011,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n        <jats:p>One rare complication of a ventriculoperitoneal (VP) shunt is perforation of the gastrointestinal tract by the catheter. We report a case in which the catheter severed spontaneously inside the peritoneal cavity, creating a communication between the intestinal tract and the peritoneal cavity. The patient was a 41-year-old man who presented with a VP shunt catheter protruding from the anus. Computed tomography showed that the VP shunt catheter, which had been put in place 25\u00a0years earlier, had severed spontaneously. The distal end had then perforated and entered the intestinal tract. The patient was hospitalized and emergency surgery was performed to repair the intestinal tract perforation caused by the end of the VP shunt catheter. Laparotomy revealed that the catheter had perforated the sigmoid colon. The VP shunt catheter was removed, and the perforation in the intestinal tract was closed by suturing. The patient was discharged on postoperative day 20.<\/jats:p>","DOI":"10.9738\/1392.1","type":"journal-article","created":{"date-parts":[[2012,12,13]],"date-time":"2012-12-13T18:35:24Z","timestamp":1355423724000},"page":"148-152","source":"Crossref","is-referenced-by-count":5,"title":["Severance of a Ventriculoperitoneal Shunt Catheter Implanted Between the Cerebral Ventricle and Peritoneal Cavity, Resulting in Protrusion From the Anus"],"prefix":"10.9738","volume":"96","author":[{"given":"Tamuro","family":"Hayama","sequence":"first","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soichiro","family":"Ishihara","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihito","family":"Yamazaki","sequence":"additional","affiliation":[{"name":"Department of Radiology, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takuya","family":"Akahane","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryu","family":"Shimada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atsushi","family":"Horiuchi","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hajime","family":"Shibuya","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hideki","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keijiro","family":"Nozawa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keiji","family":"Matsuda","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiaki","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"4721","reference":[{"issue":"5","key":"i0020-8868-96-2-148-Sathyanarayana1","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, S","year":"2000","unstructured":"Sathyanarayana, S, WylenEL, BaskayaMK, and NandaA. Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases.Surg Neurol2000. 54 (5):388\u2013396."},{"issue":"11","key":"i0020-8868-96-2-148-Matsuoka1","series-title":"Neurol Med Chir (Tokyo)","first-page":"526","article-title":"Transanal prolapse of a ventriculoperitoneal shunt catheter\u2014case report.","volume":"48","author":"Matsuoka, H","year":"2008","unstructured":"Matsuoka, H, TakegamiT, MaruyamaD, HamasakiT, KakitaK, and MineuraK. Transanal prolapse of a ventriculoperitoneal shunt catheter\u2014case report.Neurol Med Chir (Tokyo)2008. 48 (11):526\u2013528."},{"issue":"2","key":"i0020-8868-96-2-148-Snow1","series-title":"Surg Neurol","first-page":"173","article-title":"Colonic perforation by ventriculoperitoneal shunts.","volume":"25","author":"Snow, RB","year":"1986","unstructured":"Snow, RB, LavyneMH, and FraserRA. Colonic perforation by ventriculoperitoneal shunts.Surg Neurol1986. 25 (2):173\u2013177."},{"issue":"9","key":"i0020-8868-96-2-148-Wilson1","series-title":"Am Surg","first-page":"601","article-title":"Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of two cases.","volume":"32","author":"Wilson, CB","year":"1966","unstructured":"Wilson, CB and BertanV. Perforation of the bowel complicating peritoneal shunt for hydrocephalus. Report of two cases.Am Surg1966. 32 (9):601\u2013603."},{"issue":"6","key":"i0020-8868-96-2-148-Ghritlaharey1","series-title":"Pediatr Surg Int","first-page":"575","article-title":"Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children.","volume":"23","author":"Ghritlaharey, RK","year":"2007","unstructured":"Ghritlaharey, RK, BudhwaniKS, ShrivastavaDK, GuptaG, KushwahaAS, ChanchlaniR, et al. Trans-anal protrusion of ventriculo-peritoneal shunt catheter with silent bowel perforation: report of ten cases in children.Pediatr Surg Int2007. 23 (6):575\u2013580."},{"issue":"10","key":"i0020-8868-96-2-148-Kella1","series-title":"J Coll Physicians Surg Pak","first-page":"644","article-title":"Umbilical perforation: a rare complication of ventriculoperitoneal shunt.","volume":"18","author":"Kella, N","year":"2008","unstructured":"Kella, N, RathiPK, and QureshiMA. Umbilical perforation: a rare complication of ventriculoperitoneal shunt.J Coll Physicians Surg Pak2008. 18 (10):644\u2013645."},{"issue":"4","key":"i0020-8868-96-2-148-MartinezHernndezMagro1","series-title":"Tech Coloproctol","first-page":"353","article-title":"Colonic perforation as a complication of ventriculoperitoneal shunt: a case report.","volume":"10","author":"Martinez Hern\u00e1ndez-Magro, P","year":"2006","unstructured":"Martinez Hern\u00e1ndez-Magro, P, Barrera Rom\u00e1nC, Villanueva S\u00e1enzE, and ZavalaMJ. Colonic perforation as a complication of ventriculoperitoneal shunt: a case report.Tech Coloproctol2006. 10 (4):353\u2013355."},{"issue":"10","key":"i0020-8868-96-2-148-deAquino1","series-title":"Childs Nerv Syst","first-page":"1225","article-title":"Nonfunctional abdominal complications of the distal catheter on the treatment of hydrocephalus: an inflammatory hypothesis? Experience with six cases.","volume":"22","author":"de Aquino, HB","year":"2006","unstructured":"de Aquino, HB, CarelliEF, Borges NetoAG, and PereiraCU. Nonfunctional abdominal complications of the distal catheter on the treatment of hydrocephalus: an inflammatory hypothesis? Experience with six cases.Childs Nerv Syst2006. 22 (10):1225\u20131230."},{"issue":"1\u20132","key":"i0020-8868-96-2-148-Digray1","series-title":"Pediatr Surg Int","first-page":"94","article-title":"Silent bowel perforation and transanal prolapse of a ventriculoperitoneal shunt.","volume":"16","author":"Digray, NC","year":"2000","unstructured":"Digray, NC, ThappaDR, AroraM, MengiY, and GoswamyHL. Silent bowel perforation and transanal prolapse of a ventriculoperitoneal shunt.Pediatr Surg Int2000. 16 (1\u20132):94\u201395."},{"issue":"5","key":"i0020-8868-96-2-148-Rubin1","series-title":"J Neurosurg","first-page":"616","article-title":"Asymptomatic perforated viscus and gram-negative ventriculitis as a complication of valve-regulated ventriculoperitoneal shunts. Report of two cases.","volume":"37","author":"Rubin, RC","year":"1972","unstructured":"Rubin, RC, GhatakNR, and VisudhipanP. Asymptomatic perforated viscus and gram-negative ventriculitis as a complication of valve-regulated ventriculoperitoneal shunts. Report of two cases.J Neurosurg1972. 37 (5):616\u2013618."},{"issue":"5","key":"i0020-8868-96-2-148-Schulhof1","series-title":"Surg Neurol","first-page":"265","article-title":"Bowel perforation due to peritoneal shunt. A report of seven cases and a review of the literature.","volume":"3","author":"Schulhof, LA","year":"1975","unstructured":"Schulhof, LA, WorthRM, and KalsbeckJE. Bowel perforation due to peritoneal shunt. A report of seven cases and a review of the literature.Surg Neurol1975. 3 (5):265\u2013269."},{"issue":"5","key":"i0020-8868-96-2-148-Sells1","series-title":"J Pediatr","first-page":"823","article-title":"Peritonitis following perforation of the bowel: a rare complication of a ventriculoperitoneal shunt.","volume":"83","author":"Sells, CJ","year":"1973","unstructured":"Sells, CJ and LoeserJD. Peritonitis following perforation of the bowel: a rare complication of a ventriculoperitoneal shunt.J Pediatr1973. 83 (5):823\u2013824."},{"issue":"3","key":"i0020-8868-96-2-148-Chen1","series-title":"Chang Gung Med J","first-page":"180","article-title":"Rectal penetration by a disconnected ventriculoperitoneal shunt tube: an unusual complication.","volume":"23","author":"Chen, HS","year":"2000","unstructured":"Chen, HS\n          . Rectal penetration by a disconnected ventriculoperitoneal shunt tube: an unusual complication.Chang Gung Med J2000. 23 (3):180\u2013184."}],"container-title":["International Surgery"],"original-title":[],"link":[{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/96\/2\/article-p148.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/international-surgery\/article-pdf\/96\/2\/148\/2215135\/1392_1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/96\/2\/article-p148.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/international-surgery.kglmeridian.com\/downloadpdf\/journals\/insu\/96\/2\/article-p148.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,7,2]],"date-time":"2025-07-02T19:06:43Z","timestamp":1751483203000},"score":1,"resource":{"primary":{"URL":"https:\/\/international-surgery.kglmeridian.com\/view\/journals\/insu\/96\/2\/article-p148.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4]]},"references-count":13,"journal-issue":{"issue":"2"},"URL":"https:\/\/doi.org\/10.9738\/1392.1","relation":{},"ISSN":["0020-8868","2520-2456"],"issn-type":[{"value":"0020-8868","type":"print"},{"value":"2520-2456","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4]]}}}