{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,4,27]],"date-time":"2024-04-27T00:27:48Z","timestamp":1714177668045},"reference-count":13,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"\nBackground: <\/jats:title>\nVentriculoperitoneal (VP) shunt placement is one of the most performed procedures in neurosurgery to treat various types of hydrocephalus (HC). Immediate or late postoperative complications may quite commonly occur, especially in immunosuppressed patients, who are predisposed to develop rare and difficult-to-treat conditions.<\/jats:p>\n<\/jats:sec>\n\nCase Description: <\/jats:title>\nHerein, we report the case of a 41-year-old female patient with a prior history of acute myeloid leukemia, followed by a tetra-ventricular acute HC due to a spontaneous non-aneurysmal subarachnoid hemorrhage. After an urgent external ventricular drainage placement, she underwent careful testing of \u201cshunt dependency,\u201d which ended with a VP shunt placement. After 2 months, she presented at the emergency department with worsening abdominal pain and fever. She underwent a computed tomography scan with contrast administration, which has shown abscesses in the abdominal cavity. An urgent surgical revision of the VP shunt and antibiotics administration followed this. After inflammatory markers normalization, due to the high risk of post-infective peritoneal adherence and consequent impairment of cerebrospinal fluid absorption, a ventriculoatrial shunt was considered the most appropriate solution.<\/jats:p>\n<\/jats:sec>\n\nConclusion: <\/jats:title>\nAbdominal abscesses are a rare but subtle complication after VP shunt placement. Their management depends on etiology, patient clinical characteristics, and manifestations. Prompt interventions have been shown to improve clinical outcomes and optimize quality of life in such delicate patients.<\/jats:p>\n<\/jats:sec>","DOI":"10.25259\/sni_151_2024","type":"journal-article","created":{"date-parts":[[2024,4,26]],"date-time":"2024-04-26T05:14:27Z","timestamp":1714108467000},"page":"142","update-policy":"http:\/\/dx.doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Multiple Abdominal abscesses following ventriculoperitoneal shunt placement in an immunosuppressed patient: An illustrative case"],"prefix":"10.25259","volume":"15","author":[{"given":"Vincenzo","family":"Gulino","sequence":"first","affiliation":[{"name":"Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, \u201cPaolo Giaccone\u201d, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberta","family":"Costanzo","sequence":"additional","affiliation":[{"name":"Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, \u201cPaolo Giaccone\u201d, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Francesca","family":"Pedalino","sequence":"additional","affiliation":[{"name":"Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, \u201cPaolo Giaccone\u201d, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giuseppe","family":"Salvaggio","sequence":"additional","affiliation":[{"name":"Department of Biomedicine, Neurosciences and Advanced Diagnostics-BIND, Neuroradiology Unit, University of Palermo, Palermo, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cesare","family":"Gagliardo","sequence":"additional","affiliation":[{"name":"Department of Biomedicine, Neurosciences and Advanced Diagnostics-BIND, Neuroradiology Unit, University of Palermo, Palermo, Italy."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenico Gerardo","family":"Iacopino","sequence":"additional","affiliation":[{"name":"Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, \u201cPaolo Giaccone\u201d, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rosario","family":"Maugeri","sequence":"additional","affiliation":[{"name":"Department of Experimental Biomedicine and Clinical Neurosciences, School of Medicine, Postgraduate Residency Program in Neurological Surgery, Neurosurgical Clinic, \u201cPaolo Giaccone\u201d, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"10894","published-online":{"date-parts":[[2024,4,26]]},"reference":[{"key":"10.25259\/SNI_151_2024\/ref-1","doi-asserted-by":"crossref","first-page":"138","DOI":"10.1016\/j.jinf.2003.09.005","article-title":"Ventriculoperitoneal shunt infection due to Serratia marcescens","volume":"50","author":"Bremer","year":"2005","journal-title":"J Infect"},{"key":"10.25259\/SNI_151_2024\/ref-2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/j.pediatrneurol.2005.05.020","article-title":"Failure of cerebrospinal fluid shunts: Part I: Obstruction and mechanical failure","volume":"34","author":"Browd","year":"2006","journal-title":"Pediatr Neurol"},{"key":"10.25259\/SNI_151_2024\/ref-3","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1177\/0003134820936620","article-title":"Acute appendicitis with abscess in the setting of a ventriculoperitoneal shunt, requiring shunt explanation due to 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