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Updated: Jun 24, 2026
14:59
Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
[Case with large abdominal abscess associated with a ventriculoperitoneal shunt]
Satoshi Tsutsumi1, Hidehiro Okura, Yasuo Suga
1Department of Neurosurgery, Juntendo University Urayasu Hospital, 2-1-1 Tomioka, Urayasu-shi, Chiba 279-0021, Japan.
No Shinkei Geka. Neurological Surgery
|April 15, 2009
Summary
A rare abdominal abscess complication from a ventriculoperitoneal shunt was successfully treated with drainage and antibiotics. This case highlights the importance of timely diagnosis and intervention for shunt-related infections.
Area of Science:
- Neurosurgery
- Infectious Diseases
- Pediatrics
Background:
- Ventriculoperitoneal shunts are used to treat hydrocephalus.
- Shunt-related complications can include infections and abscesses.
- Abdominal abscesses are a rare but serious complication.
Observation:
- A 6-year-old female with a history of craniopharyngioma surgery and intracranial abscesses presented with an abdominal abscess.
- The patient was in a vegetative state with impaired hypothalamic function.
- Clinical signs and initial lab tests did not strongly indicate infection.
Findings:
- The abdominal abscess was caused by methicillin-resistant Staphylococcus aureus (MRSA).
- Preexisting intracranial infection extending through the shunt tubing likely contributed.
- The patient's impaired immune function may have played a role.
Implications:
- Abdominal abscess is a potential complication of ventriculoperitoneal shunting.
- Prompt diagnosis and treatment, including shunt removal and antibiotics, are crucial.
- Successful management can lead to a good outcome, even in complex cases.
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