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Pyogenic liver abscess complicating a ventriculoperitoneal shunt
L T Huang1, C C Chen, T T Shih
1Department of Pediatrics, Chang Gung Memorial Hospital, 123 Ta-Pei Road, Niao Sung Hsiang, Kaohsiung, 833, Taiwan.
Pediatric Surgery International
|January 31, 1998
Summary
Pyogenic liver abscess is a rare complication of ventriculoperitoneal (VP) shunting. Successful treatment involved CT-guided drainage, shunt externalization, and antibiotics.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
- Radiology
Background:
- Ventriculoperitoneal (VP) shunting is a common neurosurgical procedure.
- Pyogenic liver abscess is an uncommon but serious complication of VP shunting.
Observation:
- A 4-month-old female infant developed a pyogenic liver abscess following VP shunting.
- The diagnosis was confirmed using imaging studies.
Findings:
- The infant was successfully treated with computed tomography-guided percutaneous transhepatic catheter drainage.
- Additional treatments included shunt externalization and parenteral antibiotics.
Implications:
- This case highlights liver abscess as a potential intra-abdominal complication of VP shunting.
- Imaging modalities are crucial for the early clinical diagnosis and management of this condition.