Case ReportsLaparoscopic Management of Colonic Perforation Due to Ventriculoperitoneal Shunt A Case ReportWu, Jhe-Syun MD; Wu, Chiang-Liang MD; Chen, Jia-Hui MDAuthor Information *Department of Surgery, Mennonite Christian Hospital §Graduate Institute of Medical Sciences, Tzu Chi University, Hualien †Department of Surgery, Division of General Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch ‡Department of Surgery, Division of General Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, Republic of China The authors declare no conflict of interest. Reprints: Jia-Hui Chen, MD, Department of Surgery, Division of General Surgery, Buddhist Tzu Chi General Hospital, Taipei Branch, Taipei, No.289, Jianguo Rd., Xindian Dist, New Taipei City 23142, Taiwan, Republic of China (e-mail: email@example.com). Neurosurgery Quarterly: November 2016 - Volume 26 - Issue 4 - p 347-350 doi: 10.1097/WNQ.0000000000000183 Buy Metrics Abstract One rare complication of a ventriculoperitoneal shunt is colonic perforation by the catheter. Laparotomy to repair the perforation site is usually required for patient with peritonitis. We present a 54-year-old male who was admitted for 1-week history of abdominal pain. He had previously undergone a ventriculoperitoneal shunt for hydrocephalus secondary to intracerebral hemorrhage. Computed tomography demonstrated the shunt within the colonic lumen and through the transverse and descending colon. Laparoscopy was performed with intracorporeal purse-string closure of the colonic perforation. The proximal catheter was released by neurosurgeon and we removed the whole catheter using the trocar. Postoperative course was uneventful. Laproscopic management of the colonic perforation may be considered as an alternative choice for diagnosing and treating this kind of complication. Copyright © 2016 Wolters Kluwer Health, Inc. All rights reserved.