Inguinal Extrusion of a Ventriculoperitoneal Shunt

Jacob Mazza; Michael G Brandel; Jeffrey A Steinberg; Hoi Sang U

doi:10.1016/j.wneu.2020.03.041

Inguinal Extrusion of a Ventriculoperitoneal Shunt

World Neurosurg. 2020 Jun:138:242-245. doi: 10.1016/j.wneu.2020.03.041. Epub 2020 Mar 14.

Authors

Jacob Mazza¹, Michael G Brandel², Jeffrey A Steinberg³, Hoi Sang U⁴

Affiliations

¹ Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
² Department of Neurosurgery, University of California, San Diego, California, USA. Electronic address: [email protected].
³ Department of Neurosurgery, University of California, San Diego, California, USA.
⁴ Department of Neurosurgery, University of California, San Diego, California, USA; Department of Neurosurgery, Veterans Administration Healthcare System, San Diego, California, USA.

PMID: 32179187
DOI: 10.1016/j.wneu.2020.03.041

Abstract

Background: Complications of ventriculoperitoneal (VP) shunts include migration into various anatomic compartments and even extrusion through tissue layers.

Case description: 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.

Conclusions: Dermacoccus is a gram-positive skin organism with rare human pathogenicity and not previously known to cause shunt infections.

Keywords: Dermacoccus; Extrusion; Infection; Shunt; Ventriculoperitoneal.

Publication types

Case Reports

MeSH terms

Abdomen
Adult
Female
Foreign-Body Migration / microbiology
Foreign-Body Migration / surgery*
Humans
Infections / drug therapy*
Infections / etiology
Postoperative Complications / therapy*
Ventriculoperitoneal Shunt*