Inguinal Hernia—A Rare Complication of Ventricuoloperitoneal Shunt

Excerpt

To the Editor: A 6-mo-old male child presented to us with a swelling over his lower back since birth and weakness of both lower limbs (Power 3/5). MRI revealed open dysraphic spine defect in lumbar region with herniation of spinal cord, suggestive of myelomenigocele, hydrocephalous and chiari type 2 malformation. He underwent right ventriculoperitoneal shunt (VPS) and repair of myelomeningocele. A week after the surgery, patient started having reducible swelling of left scrotum, which used to increase on coughing (Fig. 1a). He didn’t have any scrotal abnormality prior to the surgery. Clinical examination revealed hydrocele with completely reducible indirect hernia (Fig. 1b). Scrotal ultrasonogram revealed inguinoscrotal hernia with fluid and bowel loops in the scrotum. Abdominal X-ray revealed the abdominal end of the shunt to be in the scrotum (Fig. 1c).

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