TY - JOUR T1 - Ventriculoperitoneal shunt migration into an inguinal hernia with subsequent laparoscopic reduction and hernia repair JF - Trauma Surgery & Acute Care Open JO - Trauma Surg Acute Care Open DO - 10.1136/tsaco-2022-000951 VL - 7 IS - 1 SP - e000951 AU - Vivian Lou AU - Kirbi Yelorda AU - Jamie Tung Y1 - 2022/05/01 UR - http://tsaco.bmj.com/content/7/1/e000951.abstract N2 - The patient is a 71-year-old man with a history of normal pressure hydrocephalus status post ventriculoperitoneal (VP) shunt placement and prostate cancer status robot-assisted radical prostatectomy (RARP) and radiation therapy. The patient was re-evaluated by the neurosurgery service for a shunt malfunction and subsequently underwent a proximal shunt revision. On postoperative routine X-ray of the shunt, the peritoneal portion was found incarcerated within a previously unrecognized right inguinal hernia and suspected to be the actual cause of the malfunction. On reflection, the patient did notice a right inguinal bulge after his shunt placement but did not think anything of it at the time. CT scan of the abdomen and pelvis confirmed the catheter resided in a right inguinal hernia, also containing fluid (figure 1).Figure 1 Coronal section of CT scan demonstrating the shunt catheter present in the right groin.What would you do?Observation and serial monitoring for spontaneous reduction of the shunt.Return to the operating room for laparoscopic shunt revision alone.Return to the operating room for laparoscopic shunt revision and open hernia repair.Return to the operating room for laparoscopic shunt revision and … ER -