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Cerebrospinal fluid pseudocyst after urinary diversion
The Journal of Urology
|December 1, 1977
Insights
Cerebrospinal fluid pseudocysts can form abdominal masses after urinary diversion in patients with ventriculoperitoneal shunts. Early recognition and management are crucial for pediatric patients experiencing this rare complication.
Area of Science:
- Pediatric Surgery
- Neurosurgery
- Urology
Background:
- Ventriculoperitoneal shunts are commonly used to treat hydrocephalus in children.
- Urinary diversion procedures are performed for various lower urinary tract abnormalities.
Observation:
- Abdominal mass development post-urinary diversion in patients with ventriculoperitoneal shunts is a concerning sign.
- Two pediatric cases highlight cerebrospinal fluid pseudocysts as a potential cause.
Findings:
- Cerebrospinal fluid pseudocysts represent a rare but significant complication.
- The study reviews the etiology, diagnostic methods, and treatment strategies for these pseudocysts.
Implications:
- Physicians should consider cerebrospinal fluid pseudocysts in the differential diagnosis of abdominal masses in this patient population.
- Prompt diagnosis and appropriate management are essential for favorable outcomes in affected children.
Abstract:
The development of an abdominal mass after urinary diversion in a patient with a ventriculoperitoneal shunt should alert the physician to the possibility of a cerebrospinal fluid pseudocyst. Two pediatric cases of cerebrospinal fluid pseudocysts are presented to illustrate this complication. The etiology, diagnosis and management of the pseudocyst are discussed and the literature is reviewed.