Journal of Korean Neurosurgical Society

  • 제54권5호
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  • Pages.441-443
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  • 2013
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Multiple Liver Abscesses Associated with Ventriculoperitoneal Shunt Infection : Case Report and Review of the Literature

  • Yang, Tae Ki (Department of Neurosurgery, Jeju National University Hospital, Jeju University School of Medicine) ;
  • Sim, Ki-Bum (Department of Neurosurgery, Jeju National University Hospital, Jeju University School of Medicine)
  • 투고 : 2012.08.29
  • 심사 : 2013.07.08
  • 발행 : 2013.11.28
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초록

Liver abscess following ventriculoperitoneal (VP) shunting occurs very rarely. We report an unusual case of multiple liver abscesses caused by Staphylococcus capitis in a 50-year-old compromised woman due to a complicating VP shunt infection. We reviewed the nine cases of VP shunt complications reported in the English literature, and speculated that the most likely pathogenetic mechanism in our case is an infected peritoneal tip that migrated to and penetrated the liver, which subsequently caused the formation of multiple liver abscesses. The patient was successfully treated with percutaneous aspiration, drainage of the abscesses, intravenous antibiotics, and shunt revision. Awareness and vigilance of the possibility of liver abscess formation caused by VP shunt infection will help establish an early accurate diagnosis and therapeutic strategy.

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참고문헌

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피인용 문헌

  1. Migration of the distal catheter of the ventriculoperitoneal shunt in hydrocephalus vol.30, pp.6, 2013, https://doi.org/10.1002/ca.22928
  2. Relapsing-Remitting Hepatic Pseudo-Cyst: A great simulator of malfunctioning ventriculoperitoneal shunt. Case report and proposal of a new classification vol.66, pp.6, 2020, https://doi.org/10.1016/j.neuchi.2020.08.001