scholarly journals Pseudocyst of Abdomen Presenting as a Huge Abdominal Mass after Ventriculoperitoneal Shunt: A Case Report

2021 ◽  
Vol 10 (2) ◽  
pp. 87-89
Author(s):  
Suman Adhikari ◽  
Prabin Bhandari ◽  
Balgopal Karmacharya ◽  
Nikunja Yogi

A ventriculoperitoneal shunt is a major surgical modality to relieve intracranial pressure in patients with hydrocephalus. Shunt obstruction and infection are the most common complications following shunt surgery whereas VP shunt-associated pseudocyst formation is a rare complication. These are the cystic space without the epithelial lining, filled with fluid around the distal tip of the catheter. In this case report, we present you a 47-year-old male who underwent VP shunt placed a year back presented with huge abdominal swelling, headache, and weight loss. CT scan of the abdomen showed abdominal pseudocyst with the peritoneal end of the shunt within the cyst. Though the exact mechanism is not known, abdominal adhesion, multiple revisions, obstruction, or dislodgement are thought to predispose to the formation of a pseudocyst.

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
B. Nitin ◽  
Manish Gupta ◽  
Anshul Singh

Introduction. Ventriculoperitoneal shunt is a common neurosurgical procedure, for the definitive management of hydrocephalus. Shunt failures may occur due to various causes but are usually due to infections in adults and catheter occlusion in the paediatric population. Case Report. The 13-year-old girl presented with a right lateral neck swelling. In detailed history, she was found to be an old case of ventriculoperitoneal shunt. The clinical examination and radiological investigation revealed proximal dislodgment of the stent from the cranium, causing persistent cerebrospinal fluid (CSF) leak and pseudocyst formation in the neck. Conclusion. The case highlights CSF pseudocyst formation as a rare differential for lateral neck swellings.


2018 ◽  
Vol 32 (2) ◽  
pp. 303-305
Author(s):  
Anand Sharma ◽  
Avdesh Shukla ◽  
S.N. Iyengar

Abstract Colonic perforation following ventriculoperitoneal shunt is a rare complication. The common treatment is to remove the perforating catheter and replace with new one. In this case report we reported a rare case of colonic perforation following VP shunt and its anal migration. We have discussed its pathogenesis, management strategy and review of literature.


2012 ◽  
Vol 16 (2) ◽  
pp. 69-71 ◽  
Author(s):  
Sandeep Gopal Jakhere ◽  
Raju Kumbhar ◽  
Harshal Dhongade

A ventriculoperitoneal shunt (VP shunt) is a fairly common and useful procedure to reduce intracranial pressure in patients with hydrocephalus. Complications associated with VP shunts are usually related to either shunt obstruction or infection. A pseudocyst formation owing to leakage of CSF into the breast tissue as a complication of VP shunting is a rare entity, with few cases in the literature. Nonetheless, it is an important cause of cystic breast lump and should be kept in mind in a patient with an indwelling VP shunt. We describe the case of a 16-year-old girl patient with an indwelling VP shunt who presented with a gradually increasing breast lump, and was diagnosed to have a CSF pseudocyst based on characteristic imaging findings.


2020 ◽  
Vol 5 (3) ◽  
pp. 1258-1260
Author(s):  
Mohan Karki ◽  
Yam Bahadur Roka ◽  
Mukesh Pandit ◽  
Sachidanand Yadav

Chronic Subdural Hematoma (CSDH) is rare complication following ventriculoperitoneal (VP) shunt for hydrocephalus. A fourteen year/male presented with complain of gradually weakness of right sided limbs, severe headache, seizure and slurring of speech after two and half month of VP shunt placement for congenital hydrocephalus. CT scan head was done and it reported left CSDH with mass effect. Patient was managed with left parietal single burr-hole and CSDH evacuation.


Author(s):  
Faisal ◽  
Ridha Dharmajaya ◽  
Ihsan Tala ◽  
Abdurrahman Mousa ◽  
Steven Tandean

Abstract. Ventriculoperitoneal (VP) shunt placement is one of the most commonly performed procedures in neurosurgery. One rare complication is the formation of an abdominal pseudocyst, which can cause shunt malfunction. Keyword: Abdominal Pseudocyst, Ventriculoperitoneal Shunt


Author(s):  
Antonio Scollato ◽  
Sokol Trungu ◽  
Stefano Forcato ◽  
Luca Ricciardi ◽  
Massimo Miscusi ◽  
...  

AbstractVentriculoperitoneal shunt (VPS) is a well-known procedure in the neurosurgical field. However, it has high complication and reoperation rates. Abdominal pseudocyst (APC) formation is a rare complication of VPS with reports in the literature varying from 4 to 10%. In this article, we report a simple and effective technique, with no additional cost, to avoid APC formation by making small multiple slits along the length of the peritoneal catheter.


2021 ◽  
Vol 31 (4) ◽  
pp. 13
Author(s):  
Farhad Bal'afif ◽  
Donny Wisny Wardhana ◽  
Tommy Alfandy Nazwar ◽  
Novia Ayuning Nastiti

<p>Ventriculoperitoneal (VP) Shunt is a commonly performed surgical procedure and offers a good result in the treatment of hydrocephalus. In general, 25% of the complication rate of this surgical procedure is abdominal complications. Anal extrusion of a peritoneal catheter is a rare complication ranging from 0.1 to 0.7% of all shunt surgeries. This study presents a rare case of anal extrusion of ventriculoperitoneal shunt in a 1-year-old female child who was asymptomatic. The physical examination revealed swelling and redness along the shunt tract on the retro auricular region, soft abdomen, and no catheter was observed in the anal. This study found several contributing factors affecting the complications in the anal extrusion of a peritoneal catheter, that are thin bowel wall in children and sharp tip and stiff end of VP shunt. The shunt should be disconnected from the abdominal wall, and the lower end should be removed through the rectum by colonoscopy or sigmoidoscopy/proctoscopy or by applying gentle traction on the protruding tube. This study concludes that due to potentially life-threatening consequences and case rarity, thorough anamnesis, physical examination, and objective investigation are needed to determine the appropriate management for anal extrusion of ventriculoperitoneal shunt. </p>


2020 ◽  
Vol 2020 (9) ◽  
Author(s):  
Jha Prabhat ◽  
Joshi Bijendra Dhoj

Abstract Abdominal complications after placement of ventriculoperitoneal (VP) shunt are commonly reported but asymptomatic bowel perforation with enterocutaneous fistula (ECF) is rare. This case describes a young male patient who underwent VP shunt for hydrocephalus 10 years ago. He presented with ECF due to the non-functioning abdominal end of the shunt. Patient was managed with laparotomy with fistulectomy with bowel resection and anastomosis. ECF is a rare complication of VP shunt.


2017 ◽  
Vol 31 (2) ◽  
pp. 253-256
Author(s):  
Manish Garg ◽  
Deepashu Sachdeva ◽  
Ketan Patel ◽  
Anita Jagetia ◽  
A. K. Srivastava

Abstract ventriculoparitoneal shunt is well established modality of treatment for hydrocephalous. Complication of v-p shunt are also mentioned in literature like shunt infection shunt migration etc [8]. Here we are describing a rare complication of vp shunt which barely mentioned in literature. A 22 yr male admitted with complain of headache & vomiting patient was diagnosed to have tubercular meningities with hydrocephalous. Patient planned for ventriculoparietoneal shunt surgery and vp shunt was done. On 3rd post-surgery day patient develop weakness in Left side of body. Urgent ncct head done which showed EDH at surgical site. Immediate craniotomy and evacuation of hematoma was done patient improved and discharged. Thus we are discussing the importance of meticulous surgery for v-p shunt, post op ct scan and treatment.


2020 ◽  
Vol 9 (2) ◽  
pp. 168-172
Author(s):  
DM Arman ◽  
Sheikh Muhammad Ekramullah ◽  
Sudipta Kumer Mukherjee ◽  
Joynul Islam ◽  
Mirza Hafizur Rashid ◽  
...  

Ventriculoperitoneal (VP) shunt is a common procedure performed for treatinghydrocephalus. Recently, endoscopy has been used in selected cases. Proximalmigration of VP shunt is a rare complication. Complete intracranial migration of VPshunt is very rare with very few cases reported in literature. We report a case ofcomplete intracranial migration of a VP shunt which was endoscopically retrieved.The possible mechanisms causing this very uncommon complication and themanagement are explained. Bang. J Neurosurgery 2020; 9(2): 168-172


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