Inguinal Extrusion of a Ventriculoperitoneal Shunt

Complications of ventriculoperitoneal (VP) shunts include migration into various anatomic compartments and even extrusion through tissue layers. A 31-year-old female patient with a VP shunt presented with distal shunt tubing extruding through the skin at the level of the inguinal ligament. Shunt har...

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Bibliographic Details
Published in:World neurosurgery 2020-06, Vol.138, p.242-245
Main Authors: Mazza, Jacob, Brandel, Michael G., Steinberg, Jeffrey A., U, Hoi Sang
Format: Article
Language:English
Subjects:
Dermacoccus
Extrusion
Infection
Shunt
Ventriculoperitoneal
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Summary:Complications of ventriculoperitoneal (VP) shunts include migration into various anatomic compartments and even extrusion through tissue layers. A 31-year-old female patient with a VP shunt presented with distal shunt tubing extruding through the skin at the level of the inguinal ligament. Shunt hardware was removed, and cultures grew Dermacoccus. The patient was treated with broad-spectrum antibiotics and underwent placement of a lumboperitoneal shunt. Dermacoccus is a gram-positive skin organism with rare human pathogenicity and not previously known to cause shunt infections.
ISSN:1878-8750
1878-8769
DOI:10.1016/j.wneu.2020.03.041