Ventriculoperitoneal shunt

Last revised by Joshua Yap on 19 Jul 2022

Ventriculoperitoneal (VP) shunts are devices used to shunt cerebrospinal fluid in the treatment of hydrocephalus.

As the name suggests, a catheter is placed with its tip in the ventricle. The external portion of the catheter is connected to a valve that regulates the flow of CSF based on a preset pressure. The distal catheter is tunneled under the skin and into the peritoneal cavity. 

Several other similar devices can be involved in the shunting of fluid from one cavity under pressure to another cavity of lower pressure:

A shunt series is performed when there is concern about the normal functioning of a VP shunt.

Recognized complications include 1,2:

ADVERTISEMENT: Supporters see fewer/no ads

Cases and figures

  • Case 1: VP shunt - 3D surface rendered
    Drag here to reorder.
  • Case 2: normal shunt series
    Drag here to reorder.
  • Case 3: with hepatic CSF pseudocyst
    Drag here to reorder.
  • Case 4: discontinous shunt tubing
    Drag here to reorder.
  • Case 5: programmable shunt
    Drag here to reorder.
  • Case 6: tube fracture
    Drag here to reorder.
  • Case 7: CSF overshunting associated with bilateral subdural hematoma
    Drag here to reorder.
  • Case 8: broken intracranial shunt
    Drag here to reorder.
  • Case 9: VP shunt disconnection
    Drag here to reorder.
  • Case 10: with shunt malfunction
    Drag here to reorder.
  • Case 11: per rectal ventriculoperitoneal shunt due migration and perforation
    Drag here to reorder.