Multiple Liver Abscesses Associated with Ventriculoperitoneal Shunt Infection: Case Report and Review of the Literature.
10.3340/jkns.2013.54.5.441
- Author:
Tae Ki YANG
1
;
Ki Bum SIM
Author Information
1. Department of Neurosurgery, Jeju National University Hospital, Jeju University School of Medicine, Jeju, Korea. kibumsim@gmail.com
- Publication Type:Case Report
- Keywords:
Liver abscess;
Catheter-related infections
- MeSH:
Abscess;
Anti-Bacterial Agents;
Catheter-Related Infections;
Diagnosis;
Drainage;
Female;
Humans;
Liver Abscess*;
Liver*;
Middle Aged;
Staphylococcus;
Ventriculoperitoneal Shunt*
- From:Journal of Korean Neurosurgical Society
2013;54(5):441-443
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
