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Recurrent pseudocyst from a ventriculoperitoneal shunt. An unusual abdominal mass
American Journal of Diseases of Children (1960)
|March 1, 1978
Insights
A recurrent abdominal pseudocyst formed in a young girl due to a ventriculoperitoneal shunt. Surgical removal of the cyst and shunt resolved the issue without infection.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Medical Imaging
Background:
- Ventriculoperitoneal shunts are common in treating hydrocephalus.
- Abdominal complications can arise from shunt placement.
- Pseudocysts are rare but serious shunt-related complications.
Observation:
- A 4-year-old girl presented with a recurrent abdominal pseudocyst.
- The pseudocyst was associated with a ventriculoperitoneal shunt.
- No evidence of peritoneal or cerebrospinal fluid infection was found.
Findings:
- Roentgenography with contrast injection into shunt tubing diagnosed the pseudocyst.
- Ultrasonography confirmed the diagnosis.
- The pseudocyst was successfully managed by surgical excision and shunt removal.
Implications:
- This case highlights a rare complication of ventriculoperitoneal shunts.
- Accurate diagnosis can be achieved with contrast-enhanced radiography and ultrasonography.
- Surgical intervention is effective for managing shunt-related abdominal pseudocysts.
Abstract:
A 4-year-old girl developed a recurrent abdominal pseudocyst from a ventriculoperitoneal shunt. There was no infection of the peritoneum or CSF. Diagnosis of this unusual abdominal mass was made roentgenographically by direct injection of soluble contrast material under antiseptic conditions into the shunt tubing. Ultrasonography was confirmatory. Management included excision of the cyst and removal of the shunt catheter from the peritoneal cavity.