Scrotal migration of a ventriculoperitoneal shunt

We report a case of scrotal migration of a ventriculoperitoneal (VP) shunt that presented as a hydrocele in an 18‐month‐old boy. The patient had a history of congenital hydrocephalus secondary to aqueductal stenosis requiring VP shunting at 1 month of age. He subsequently presented with painless progressive right scrotal swelling for 12 months with the distal segment of the shunt's peritoneal catheter palpable within the scrotum, which was confirmed by X‐ray imaging. Groin exploration for catheter removal and high ligation of the hydrocele were performed. Postoperatively, there was no recurrence of the hydrocele. We recommend that all infant patients with an implanted VP shunt undergo regular scrotal examinations at the neurosurgical clinic, and that early surgical intervention should be considered when a hydrocele is detected.