CC BY-NC-ND 4.0 · Asian J Neurosurg 2023; 18(02): 333-335
DOI: 10.1055/s-0043-1763521
Case Report

Cerebrospinal Fluid Leakage from Scrotum Secondary to Ventriculoperitoneal Shunt Migration

Gregory Topp
1   Department of Neurosurgery, Albany Medical Center, Albany, New York, United States
Pouya Entezami
1   Department of Neurosurgery, Albany Medical Center, Albany, New York, United States
Shashikanth Ambati
2   Department of Paediatrics, Albany Medical Center, Albany, New York, United States
Benjamin Szewczyk
1   Department of Neurosurgery, Albany Medical Center, Albany, New York, United States
Matthew A. Adamo
1   Department of Neurosurgery, Albany Medical Center, Albany, New York, United States
› Author Affiliations


Ventriculoperitoneal (VP) shunts are a common neurosurgical procedure used to treat hydrocephalus. Despite their efficacy, many shunts fail and require revisions. The most common causes of shunt failure include obstruction, infection, migration, and perforation. Extraperitoneal migrations require urgent attention. We present a case of migration to the scrotum, a unique complication that may be present in young patients due to the presence of a patent processus vaginalis. Here, we discuss a case of a 16-month-old male patient with a VP shunt presenting with cerebrospinal fluid (CSF) drainage from his scrotum after an indirect hernia repair. This case represents an important reminder for physicians about the sequelae associated with VP shunt complications, particularly extraperitoneal migration, and brings awareness to the underlying factors that may increase this risk.

Publication History

Article published online:
11 April 2023

© 2023. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (

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