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Cerebrospinal fluid hydrocele caused by scrotal migration of a ventriculoperitoneal shunt
  1. Atif Nawaz,
  2. Mustafa Belal Hafeez Chaudhry,
  3. Waseem Akhtar Mirza
  1. Department of Radiology, Aga Khan University, Karachi, Sindh, Pakistan
  1. Correspondence to Dr Mustafa Belal Hafeez Chaudhry, mustafa.b.chaudhry{at}


A 6-month-old boy presented with painless right hemiscrotal swelling. The scrotal ultrasound revealed a cerebrospinal fluid hydrocele caused by the migration of a ventriculoperitoneal shunt (VPS) catheter tip into the right hemiscrotum and associated undescended left testis. Earlier, he underwent a VPS placement for hydrocephalus secondary to neonatal bacterial meningitis and ventriculitis. The patient was treated with bilateral herniotomy, left-sided orchidopexy and repositioning of VPS into the peritoneal cavity.

  • neurosurgery
  • meningitis
  • ultrasonography
  • radiology
  • paediatric surgery

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  • Contributors AN diagnosed the case on US under supervision of WAM. AN and MBHC did initial literature search. AN wrote the initial manuscript. MBHC selected the images, wrote image captions, revised, edited and finalised the manuscript. WAM and AN proof-read the final manuscript. All the authors contributed to the intellectual context and approved the final version.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Parental/ guardian obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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