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Archives of Academic Emergency Medicine

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  4. Case Report

Vol. 5 No. 1 (2017)

January 2017

A 5-Month-Old Infant with Right Scrotum Swelling

  • Shih-Wen Hung
  • Kuo-Chih Chen
  • Chin-Chu Wu
  • Tzong-Luen Wang
  • Aming Chor-Ming Lin

Archives of Academic Emergency Medicine, Vol. 5 No. 1 (2017), 1 January 2017 , Page e48
https://doi.org/10.22037/aaem.v5i1.173 Published: 2017-01-14

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Abstract

Case presentation:

A five-month-old male infant (gestational age 28 weeks, birthweight 1020 gm) with posthemorrhagic hydrocephalus subsequent to prematurity had a left sided ventriculoperitoneal shunt 3 months after birth. Frontal radiography of the chest and abdomen check-up after operation are shown in figure 1. He was referred to our emergency department with a history of right scrotal swelling for several days. Physical examination, he appeared malnourished. He was afebrile. The right scrotum was found to be distended. Bilateral testicles were palpable on both sides. There were no features of shunt malfunction. A complete blood cell count showed the following: leukocyte count, 7900/mm3; segmented neutrophils, 65%; hemoglobin level of 9.3 mg/dL; hematocrit, 25.9%; and platelet, 190000/uL. Other laboratory studies included: glucose, 92 mg/dL; serum urea nitrogen, 10 mg/dL; serum creatinine, 0.2 mg/dL; sodium, 140 mEq/L; potassium, 3.9 mEq/L; C-reactive protein, 2.9mg/L; and prothrombin time with an international normalized ratio of 1.2. His abdomen x-ray is shown in figure 2.  

Keywords:
  • Ventriculoperitoneal shunt
  • equipment failure
  • hydrocephalus
  • radiography
  • abdominal
  • case re
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How to Cite

1.
Hung S-W, Chen K-C, Wu C-C, Wang T-L, Lin AC-M. A 5-Month-Old Infant with Right Scrotum Swelling. Arch Acad Emerg Med [Internet]. 2017 Jan. 14 [cited 2025 Jun. 22];5(1):e48. Available from: https://journals.sbmu.ac.ir/aaem/index.php/AAEM/article/view/173
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References

Stone JJ, Walker CT, Jacobson M, Phillips V, Silberstein HJ.Revision rate of pediatric ventriculoperitoneal shunts af-ter 15 years: Clinical article. Journal of Neurosurgery: Pe-diatrics. 2013;11(1):15-9.

Woo P, Wong H, Pu J, Wong W, Wong L, Lee M, et al. Pri-mary ventriculoperitoneal shunting outcomes: a multi-centre clinical audit for shunt infection and its risk fac-tors. Hong Kong medical journal= Xianggang yi xue zazhi. 2016;22(5):410.

Wu Y, Green NL, Wrensch MR, Zhao S, Gupta N. Ventricu-loperitoneal shunt complications in California: 1990 to2000. Neurosurgery. 2007;61(3):557-63.

Karaosmanoglu D, Metin Y, Akata D, Haliloglu M. An un-usual cause of hydrocele: malpositioned ventriculoperi-toneal shunt in the scrotum. Journal of Ultrasound inMedicine. 2008;27(1):159-60.

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Ul-Haq A, Al-Otaibi F, Alshanafey S, Sabbagh M, AlShail E. Ventriculoperitoneal shunt peritoneal catheterknot formation. Case reports in neurological medicine.2012;2013:628493.

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Oktem I, Akdemir H, Koc K, Menku A, Tucer B, SelcukluA, et al. Migration of abdominal catheter of ventricu-loperitoneal shunt into the scrotum. Acta neurochirur-gica. 1997;140(2):167-70.

Karaosmanoglu D, Metin Y, Akata D, Haliloglu M. An un-usual cause of hydrocele: malpositioned ventriculoperi-toneal shunt in the scrotum. Journal of ultrasound inmedicine: official journal of the American Institute of Ul-trasound in Medicine. 2008;27(1):159-60.

Gupta M, Digra NC, Sharma N, Goyal S, Agrawal A.Length of peritoneal end of shunt catheters in hydro-cephalus in children and rate of complications. Journalof Cranio-Maxillary Diseases. 2012;1(1):12.

Bir, S.C., Konar, S., T.K. et al. Outcome of ventriculoperi-toneal shunt and predictors of shunt revision in infantswith posthemorrhagic hydrocephalus. Childs Nerv Syst2016; 32:1405-14.

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