With the advent of ventriculoperitoneal cerebrospinal fluid shunts for
communicating hydrocephalus, rarely does the physician see patients w
ith alternate types of shunting devices. The once popularized lumboure
teral shunt is unique for its potential complications of dehydration,
electrolyte imbalances, infection, and the sacrifice of a functioning
kidney. This article presents the case of a woman with a longstanding
lumboureteral shunt that was removed after the onset of iatrogenic men
ingitis secondary to an ascending urinary tract infection.