Ghritlaharey RK. Why the migration of peritoneal shunt catheter into the scrotum occurs more in children: A systematic literature review. World J Meta-Anal 2025; 13(2): 100483 [DOI: 10.13105/wjma.v13.i2.100483]
Corresponding Author of This Article
Rajendra Kumar Ghritlaharey, MS, MCh, Medical Superintendent and Professor of Pediatric Surgery, Mahaveer Institute of Medical Sciences and Research, Adjacent to I T Park, Village-Badwai, Bhopal 462036, Madhya Pradesh, India. drrajendrak1@rediffmail.com
Research Domain of This Article
Neurosciences
Article-Type of This Article
Systematic Reviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Meta-Anal. Jun 18, 2025; 13(2): 100483 Published online Jun 18, 2025. doi: 10.13105/wjma.v13.i2.100483
Why the migration of peritoneal shunt catheter into the scrotum occurs more in children: A systematic literature review
Rajendra Kumar Ghritlaharey
Rajendra Kumar Ghritlaharey, Medical Superintendent and Professor of Pediatric Surgery, Mahaveer Institute of Medical Sciences and Research, Bhopal 462036, Madhya Pradesh, India
Author contributions: Ghritlaharey RK carried out the literature search, data extraction, writing, and revision of this manuscript.
Conflict-of-interest statement: All authors declare no conflict of interest in publishing the manuscript.
PRISMA 2009 Checklist statement: The authors have read the PRISMA 2009 Checklist, and the manuscript was prepared and revised according to the PRISMA 2009 Checklist.
Open Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Rajendra Kumar Ghritlaharey, MS, MCh, Medical Superintendent and Professor of Pediatric Surgery, Mahaveer Institute of Medical Sciences and Research, Adjacent to I T Park, Village-Badwai, Bhopal 462036, Madhya Pradesh, India. drrajendrak1@rediffmail.com
Received: August 17, 2024 Revised: March 23, 2025 Accepted: April 16, 2025 Published online: June 18, 2025 Processing time: 302 Days and 12.6 Hours
Core Tip
Core Tip: The present manuscript is a systematic review and was carried out to review the demographics, clinical features, and outcome of the surgical therapy executed for the migration of the distal ventriculoperitoneal shunt (VPS) catheter into the scrotum. This study included n = 120 cases (n = 112 children and n = 8 adults and older individuals) treated for the complication, mentioned above, and published from 1974 to June 30, 2024. Migration of the distal VPS catheter to the right scrotum was most frequent/common, both in children and adults, and older people. In children, the majority of cases (four-fifths) were diagnosed and treated for above mentioned VPS complication during the first 24 months of their life or earlier. Additionally, the complication was detected within the first 12 months after the initial VPS insertion, in four-fifths of the cases. Clinically, the cases presented with the chief complaint of scrotal swelling of varying duration. Two-thirds of the children underwent surgical repositioning of the migrated distal VPS catheter into the peritoneal cavity and herniotomy. The systematic literature review revealed two deaths among the adults/older patients and none among the children treated for migration of the distal VPS catheter into the scrotum.
