Case report: A 16-year-old male patient who had been treated at the age of 13 months with a ventriculoperitoneal (VP) shunt due to obstructive hydrocephalus was presented to our department for a routine follow-up examination. The patient had tolerated well a shunt disconnection in 1990 and the distal part had been removed. Six years later radiological evaluation revealed an intracerebral mass adjacent to the remaining intraventricular catheter. The mass, histologically classified as an abscess, had to be removed 3 years later due to disease progression, although the patient remained asymptomatic.
Discussion: This case is of particular interest because it demonstrates the extremely delayed onset and progressive course of a well-known complication of VP shunt systems in an asymptomatic patient. In addition, the reported case raises the question of whether a non-functioning shunt needs to be removed or not.