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Updated: Nov 19, 2025

Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Extrahepatic pseudocyst in an adult
Yi-An Chen1, Cheng-Ta Hsieh1, Jui-Ming Sun1
1From the Department of Neurological Surgery (Chen), Tri-Service General Hospital, National Defense Medical Center, from the Department of Medicine (Hsieh), School of Medicine, Fu Jen Catholic University, Taipei, from the Division of Neurosurgery (Hsieh), Department of Surgery, Sijhih Cathay General Hospital, from the Department of Medicine (Hsieh), School of Medicine, Fu Jen Catholic University, New Taipei, from the Section of Neurosurgery (Sun), Department of Surgery, Ditmanson Medical Foundation, Chia-Yi Christian Hospital, and the Department of Biotechnology (Sun), Asia University, Taichung, Taiwan.
Abstract:
Ventriculoperitoneal (VP) shunts are commonly used in neurosurgical procedures to treat hydrocephalus. Although shunt-associated abdominal complications are well documented, extrahepatic pseudocysts are a rare shunt complication in adult patients. Therefore, we herein report the case of a 54-year-old male patient who presented with a bulging mass around the previous surgical site at the right upper quadrant of the abdomen. He had a 4-year history of VP shunt surgery for posthemorrhagic hydrocephalus. A computed tomographic scan revealed a large extrahepatic pseudocsyt. Our case represented a rare entity of extrahepatic pseudocyst in adult patients underwent VP shunt surgery. The clinical presentation, diagnostic tools, and treatment methods were discussed.
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