PMC9562235_01
A, Preoperative AP abdominal radiograph showing the coiled distal shunt catheter inside the right scrotum (white arrow). B, coronal, C, sagittal and D, axial slices of abdominal CT scan showing distal shunt catheter in the hernia sac entering the scrotum.
gr1.jpg
PMC9562235_01_gr1.jpg
fig1
Plain radiographs of the abdomen (Fig. 1A) showed the presence of the distal VPS catheter in his right hemiscrotum. Computerized tomography (CT) scan of the abdomen (Fig. 1B-D) confirmed a coiled ventriculoperitoneal catheter which had migrated inside an inguinal hernia.
A, CT head immediately after insertion of the VPS. B, CT head upon presentation with hydrocoele, 4 months after VPS insertion, denoting unchanged ventricular calibre.
gr2.jpg
PMC9562235_01_gr2.jpg
fig2
CT scan imaging of the head showed similar ventricular caliber to that on VPS insertion (Fig. 2).
Postoperative radiographs in lateral (A) and anteroposterior (B) projections showing truncation and adequate placement of the distal shunt catheter.
gr3.jpg
PMC9562235_01_gr3.jpg
fig3
Post-operative abdominal x-rays showed satisfactory location of the distal catheter in the peritoneal cavity (Fig. 3).