Management of inguinal cerebrospinal fluid leak after communicating hydrocele repair in a child with spina bifida

Abstract Children with ventriculoperitoneal shunts undergoing communicating hydrocele repair are at increased risk of postoperative complications, including hydrocele recurrence, shunt injury, infection, and meningitis. This is the first case report of a child with a ventriculoperitoneal shunt who developed a cerebrospinal fluid leak through the inguinal incision after hydrocele repair. Management included placing the child in the Trendelenburg position and sealing the leak with cyanoacrylate tissue adhesive.