title: CSF fistula through the left lumbar region in adult following a ventriculoperitoneal shunt surgery: a rare case report.
abstract: A cranial spinal fluid fistula through left lumbar region following a ventriculoperitoneal (VP) shunt is an extremely rare complication. We report a 25-year-old man who presented with the leakage of clear fluid from the left lumbar region, 3 years after a VP shunt surgery. Computerized tomography scan of abdomen revealed that the distal end of the catheter penetrated into the inner layer of the wall of left lumbar region. He was managed successfully with abdominal part of shunt catheter removal from primary cervical and abdominal incision, a new abdominal part of VP shunt catheter replacement and prophylactic antibiotic.
authors.affiliation: Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, People's Republic of China.
authors.forename: Shi-yin
authors.initials: SY
authors.lastname: Xiao
authors.forename: Lu
authors.initials: L
authors.lastname: Ma
authors.forename: Bal Krishna
authors.initials: BK
authors.lastname: Shrestha
authors.forename: Yue-kang
authors.initials: YK
authors.lastname: Zhang
authors.forename: Bo-Yong
authors.initials: BY
authors.lastname: Mao
mesh_terms: D000328:Adult; D001930:Brain Injuries / Q000601:surgery*; D002555:Cerebrospinal Fluid / Q000378:metabolism; D020878:Device Removal / Q000379:methods; D005402:Fistula / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000378:metabolism; D006801:Humans; D008161:Lumbosacral Region / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000209:etiology / Q000378:metabolism; D011859:Radiography; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
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