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Updated: Dec 26, 2025

Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
Inguinal Extrusion of a Ventriculoperitoneal Shunt
Jacob Mazza1, Michael G Brandel2, Jeffrey A Steinberg2
1Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
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.

