[01] Diana Coimbra, Pediatric Surgery Department, Pediatric Hospital, Coimbra Hospital and Universitary Center, Coimbra, Portugal. [02] Liliana Santos, Pediatric Surgery Department, Pediatric Hospital, Coimbra Hospital and Universitary Center, Coimbra, Portugal. [03] Catarina Cunha, Pediatric Surgery Department, Pediatric Hospital, Coimbra Hospital and Universitary Center, Coimbra, Portugal. [04] José A. Costa, Pediatric Neurosurgery Department, Pediatric Hospital, Coimbra Hospital and Universitary Center Coimbra, Portugal. [05] Maria F. Lopes, Pediatric Surgery Department, Pediatric Hospital, Coimbra Hospital and Universitary Center, Coimbra, Portugal.

Abdominal complications from ventriculoperitoneal (VP) shunts are broad and may be difficult to recognize. We report a case of recurrent abdominal sepsis in a child with ventriculoperitoneal shunt. Whithout a clear diagnosis, exploratory laparotomy was performed and perforation of the cecum by the tip of the ventriculoperitoneal catheter, with an extensive chronic inflammatory process surrounding the cecum, was found. Our goal is to raise awareness to the rare abdominal complications of VP shunting such as bowel perforation, aiming for a more diligent diagnosis and proper treatment.

Ventriculoperitoneal Shunt Complications, Bowel Perforation, Abdominal Sepsis, Pediatric Neurosurgery, Children

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