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Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
[Abdominal pseudocyst as a complication of ventriculoperitoneal shunt]
Shawnim Shakir1, Sture Hegelund
1Billeddiagnostisk Afdeling, Køge Sygehus, Lykkebækvej 1, 4600 Køge. shawnim1@gmail.com
Insights
Abdominal pseudocysts are rare complications of ventriculoperitoneal shunts, especially in adults. This case highlights the need to suspect pseudocysts in adults with shunts presenting with abdominal pain.
Area of Science:
- Neurosurgery
- Gastroenterology
Background:
- Ventriculoperitoneal shunts are common treatments for hydrocephalus.
- Abdominal pseudocysts are an infrequent complication of these shunts, rarely seen in adults.
Observation:
- A 47-year-old man with congenital hydrocephalus and a lifelong ventriculoperitoneal shunt presented with abdominal pain.
- Radiological diagnosis confirmed an abdominal pseudocyst.
Findings:
- This case represents a rare occurrence of abdominal pseudocyst in an adult patient with a ventriculoperitoneal shunt.
- The complication developed despite the shunt functioning for decades.
Implications:
- Abdominal pseudocysts should be considered in the differential diagnosis of abdominal pain in adult patients with ventriculoperitoneal shunts.
- Early suspicion and diagnosis are crucial for appropriate management of this rare complication.
Abstract:
The abdominal pseudocyst is an unfrequent complication in patients with ventriculoperitoneal shunts. Although many cases have been reported in children, it is rare in adult patients. However, a 47-year-old man with congenital hydrocephalus who had been treated with ventriculoperitoneal shunt since the age of three months, was admitted to hospital due to abdominal pain. He was eventually diagnosed radiologically as having an abdominal pseudocyst. Despite this complication being rare, especially in adults, it should be highly suspected whenever an abdominal cyst co-occurs with a ventriculoperitoneal shunt.
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