Huge abdominal cerebrospinal fluid pseudocyst following ventriculoperitoneal shunt: A case report

Yasuhiro Koide, Takaaki Osako, Masahiro Kameda, Hiromi Ihoriya, Hirotsugu Yamamoto, Noritomo Fujisaki, Toshiyuki Aokage, Tetsuya Yumoto, Isao Date, Hiromichi Naito, Atsunori Nakao

Research output: Contribution to journalArticle

Abstract

Introduction: Abdominal pseudocysts comprising cerebrospinal fluid are an uncommon but significant complication in patients with ventriculoperitoneal shunt. We present a successfully treated 12-year-old boy with a history of ventriculoperitoneal shunting and a huge abdominal cerebrospinal fluid pseudocyst. Case presentation: A12-year-old Japanese boy presented with a deteriorated consciousness and a palpable and elastic large lower abdominal mass. Computed tomography of his abdomen demonstrated a collection of homogenous low-density fluid near the catheter tip of the ventriculoperitoneal shunt. Cerebral computed tomography revealed an increased ventricular size. Based on the clinical diagnosis of abdominal pseudocyst, the peritoneal shunt catheter was secured and divided into two parts by cutting it on the chest; then, the proximal side of the peritoneal shunt catheter was externalized for extraventricular drainage. The cyst was percutaneously aspirated with ultrasound guidance, and the distal side of the peritoneal shunt catheter was removed. The distal side of the peritoneal shunt catheter was reinserted in another position into his abdomen after 3-week extraventricular drainage management. Conclusion: Emergency physicians should know about this potential complication as an important differential diagnosis resulting from acute abdominal complaints in patients with ventriculoperitoneal shunts.

Original languageEnglish
Article number361
JournalJournal of Medical Case Reports
Volume13
Issue number1
DOIs
Publication statusPublished - Dec 10 2019

Fingerprint

Ventriculoperitoneal Shunt
Cerebrospinal Fluid
Catheters
Abdomen
Drainage
Tomography
compound A 12
Consciousness
Cysts
Emergencies
Differential Diagnosis
Thorax
Physicians

Keywords

  • Abdominal pseudocyst
  • Cerebrospinal fluid
  • Complication
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Huge abdominal cerebrospinal fluid pseudocyst following ventriculoperitoneal shunt : A case report. / Koide, Yasuhiro; Osako, Takaaki; Kameda, Masahiro; Ihoriya, Hiromi; Yamamoto, Hirotsugu; Fujisaki, Noritomo; Aokage, Toshiyuki; Yumoto, Tetsuya; Date, Isao; Naito, Hiromichi; Nakao, Atsunori.

In: Journal of Medical Case Reports, Vol. 13, No. 1, 361, 10.12.2019.

Research output: Contribution to journalArticle

Koide, Yasuhiro ; Osako, Takaaki ; Kameda, Masahiro ; Ihoriya, Hiromi ; Yamamoto, Hirotsugu ; Fujisaki, Noritomo ; Aokage, Toshiyuki ; Yumoto, Tetsuya ; Date, Isao ; Naito, Hiromichi ; Nakao, Atsunori. / Huge abdominal cerebrospinal fluid pseudocyst following ventriculoperitoneal shunt : A case report. In: Journal of Medical Case Reports. 2019 ; Vol. 13, No. 1.
@article{90d8bcaedbee4b8f9fff846e54ee4982,
title = "Huge abdominal cerebrospinal fluid pseudocyst following ventriculoperitoneal shunt: A case report",
abstract = "Introduction: Abdominal pseudocysts comprising cerebrospinal fluid are an uncommon but significant complication in patients with ventriculoperitoneal shunt. We present a successfully treated 12-year-old boy with a history of ventriculoperitoneal shunting and a huge abdominal cerebrospinal fluid pseudocyst. Case presentation: A12-year-old Japanese boy presented with a deteriorated consciousness and a palpable and elastic large lower abdominal mass. Computed tomography of his abdomen demonstrated a collection of homogenous low-density fluid near the catheter tip of the ventriculoperitoneal shunt. Cerebral computed tomography revealed an increased ventricular size. Based on the clinical diagnosis of abdominal pseudocyst, the peritoneal shunt catheter was secured and divided into two parts by cutting it on the chest; then, the proximal side of the peritoneal shunt catheter was externalized for extraventricular drainage. The cyst was percutaneously aspirated with ultrasound guidance, and the distal side of the peritoneal shunt catheter was removed. The distal side of the peritoneal shunt catheter was reinserted in another position into his abdomen after 3-week extraventricular drainage management. Conclusion: Emergency physicians should know about this potential complication as an important differential diagnosis resulting from acute abdominal complaints in patients with ventriculoperitoneal shunts.",
keywords = "Abdominal pseudocyst, Cerebrospinal fluid, Complication, Ventriculoperitoneal shunt",
author = "Yasuhiro Koide and Takaaki Osako and Masahiro Kameda and Hiromi Ihoriya and Hirotsugu Yamamoto and Noritomo Fujisaki and Toshiyuki Aokage and Tetsuya Yumoto and Isao Date and Hiromichi Naito and Atsunori Nakao",
year = "2019",
month = "12",
day = "10",
doi = "10.1186/s13256-019-2308-0",
language = "English",
volume = "13",
journal = "Journal of Medical Case Reports",
issn = "1752-1947",
publisher = "BioMed Central",
number = "1",

}

TY - JOUR

T1 - Huge abdominal cerebrospinal fluid pseudocyst following ventriculoperitoneal shunt

T2 - A case report

AU - Koide, Yasuhiro

AU - Osako, Takaaki

AU - Kameda, Masahiro

AU - Ihoriya, Hiromi

AU - Yamamoto, Hirotsugu

AU - Fujisaki, Noritomo

AU - Aokage, Toshiyuki

AU - Yumoto, Tetsuya

AU - Date, Isao

AU - Naito, Hiromichi

AU - Nakao, Atsunori

PY - 2019/12/10

Y1 - 2019/12/10

N2 - Introduction: Abdominal pseudocysts comprising cerebrospinal fluid are an uncommon but significant complication in patients with ventriculoperitoneal shunt. We present a successfully treated 12-year-old boy with a history of ventriculoperitoneal shunting and a huge abdominal cerebrospinal fluid pseudocyst. Case presentation: A12-year-old Japanese boy presented with a deteriorated consciousness and a palpable and elastic large lower abdominal mass. Computed tomography of his abdomen demonstrated a collection of homogenous low-density fluid near the catheter tip of the ventriculoperitoneal shunt. Cerebral computed tomography revealed an increased ventricular size. Based on the clinical diagnosis of abdominal pseudocyst, the peritoneal shunt catheter was secured and divided into two parts by cutting it on the chest; then, the proximal side of the peritoneal shunt catheter was externalized for extraventricular drainage. The cyst was percutaneously aspirated with ultrasound guidance, and the distal side of the peritoneal shunt catheter was removed. The distal side of the peritoneal shunt catheter was reinserted in another position into his abdomen after 3-week extraventricular drainage management. Conclusion: Emergency physicians should know about this potential complication as an important differential diagnosis resulting from acute abdominal complaints in patients with ventriculoperitoneal shunts.

AB - Introduction: Abdominal pseudocysts comprising cerebrospinal fluid are an uncommon but significant complication in patients with ventriculoperitoneal shunt. We present a successfully treated 12-year-old boy with a history of ventriculoperitoneal shunting and a huge abdominal cerebrospinal fluid pseudocyst. Case presentation: A12-year-old Japanese boy presented with a deteriorated consciousness and a palpable and elastic large lower abdominal mass. Computed tomography of his abdomen demonstrated a collection of homogenous low-density fluid near the catheter tip of the ventriculoperitoneal shunt. Cerebral computed tomography revealed an increased ventricular size. Based on the clinical diagnosis of abdominal pseudocyst, the peritoneal shunt catheter was secured and divided into two parts by cutting it on the chest; then, the proximal side of the peritoneal shunt catheter was externalized for extraventricular drainage. The cyst was percutaneously aspirated with ultrasound guidance, and the distal side of the peritoneal shunt catheter was removed. The distal side of the peritoneal shunt catheter was reinserted in another position into his abdomen after 3-week extraventricular drainage management. Conclusion: Emergency physicians should know about this potential complication as an important differential diagnosis resulting from acute abdominal complaints in patients with ventriculoperitoneal shunts.

KW - Abdominal pseudocyst

KW - Cerebrospinal fluid

KW - Complication

KW - Ventriculoperitoneal shunt

UR - http://www.scopus.com/inward/record.url?scp=85076350023&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85076350023&partnerID=8YFLogxK

U2 - 10.1186/s13256-019-2308-0

DO - 10.1186/s13256-019-2308-0

M3 - Article

C2 - 31818327

AN - SCOPUS:85076350023

VL - 13

JO - Journal of Medical Case Reports

JF - Journal of Medical Case Reports

SN - 1752-1947

IS - 1

M1 - 361

ER -