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A 14-month-old boy with Dandy-Walker malformation and absent corpus callosum with a ventriculoperitoneal shunt (VPS) in situ presented to paediatric clinic. An increase in head circumference (figure 1) was noted but there was no history or clinical signs demonstrating raised intracranial pressure suggesting a partial CSF obstruction. He was also noted to have a new onset right-sided hydrocele, with a tortuous structure palpable alongside the testis. An ultrasound demonstrated a migrated VPS in …
Contributors CF: case identification, writing and submission. RS and JC: review of the article prior to submission. SL: took the USS image and provided support and guidance for the article.
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 for publication Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
Author note Image courtesy of Dr Saeeda Latif, Frimley Health NHS Foundation Trust.
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