March 3, 2026Open Access

Management of a Patient With Gynecomastia With Ventriculoperitoneal (VP) Shunt: A Case Report

Key Points

Successful power-assisted liposuction was performed without shunt displacement or injury.
The patient had bilateral gynecomastia and a history of ventriculoperitoneal shunt placement.
Interprofessional collaboration among the plastic surgeon, neurosurgeon, and radiologist ensured safety during the procedure.
A satisfactory recovery was observed postoperatively, with good cosmetic outcomes.

Abstract

Ventriculoperitoneal (VP) shunts traverse the anterior chest through breast parenchyma. Any breast surgery planned for patients with VP shunts requires extra caution, as it poses a risk of injury to the shunt. This is a case report of a 19-year-old male patient who had bilateral (B/L) gynecomastia, with a pre-existing VP shunt, and was operated successfully by power-assisted liposuction (PAL) without any displacement or injury to the shunt. This was possible only because of a collaborative, multidisciplinary approach to preserve the shunt; in this case, it involved an interprofessional discussion between the operating plastic surgeon, neurosurgeon, and radiologist during preoperative planning. The patient had a satisfactory recovery with good cosmesis postoperatively.

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Cite This Study

Dash et al. (Tue,) studied this question.

synapsesocial.com/papers/69a75a8dc6e9836116a20897 https://doi.org/https://doi.org/10.7759/cureus.102407

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