Acute Breast Implant Periprosthetic Cerebrospinal Fluid Collection After Ventriculoperitoneal Shunt Migration: A Case Report and Review of Literature.

Annals of plastic surgery 2019 Vol.82(4) p. 478-481

Zaluzec RM, Patel RA, Cohen M

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Abstract

Ventriculoperitoneal shunt (VPS) placement is a common neurosurgical procedure with a high rate of distal catheter malfunction. Rarely, the catheter may migrate to other tissues in the body including the breast pockets. There are increasing odds that a patient may undergo both breast augmentation and VPS placement, because breast augmentation is the most common aesthetic surgical procedure. Complications are possible with both surgical procedures. Proximal migration of the distal aspect of a VPS into the breast pocket containing an implant is a rare complication. We hereby present a successful management of VPS migration with implant salvage and culture-directed antibiotics using a careful no touch technique by avoiding breast incision and washout, or percutaneous drainage, and using the existing VPS as an in situ drainage access point for CSF fluid aspiration and culture.

추출된 의학 개체 (NER)

유형영어 표현한국어 / 풀이UMLS CUI출처등장
해부 breast 유방 dict 6
시술 breast augmentation 유방성형술 dict 2
해부 tissues scispacy 1
합병증 breast incision scispacy 1
질환 Acute Breast Implant Periprosthetic Cerebrospinal Fluid scispacy 1
기타 patient scispacy 1

MeSH Terms

Breast Implantation; Breast Implants; Conservative Treatment; Drainage; Female; Follow-Up Studies; Foreign-Body Migration; Humans; Mammaplasty; Middle Aged; Rare Diseases; Risk Assessment; Treatment Outcome; Ventriculoperitoneal Shunt

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