Fetal ovarian cyst mimicking a CSF pseudocyst in the setting of shunt failure

2015 ◽  
Vol 15 (1) ◽  
pp. 89-91 ◽  
Author(s):  
Mark Calayag ◽  
Christian Cantillano Malone ◽  
Brian Drake ◽  
Govind Chavhan ◽  
James T. Rutka
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Ovarian Cyst ◽  
Ovarian Cysts ◽  
Shunt Failure ◽  
Congenital Lesions ◽  
Abdominal Pseudocyst ◽  
Neonatal Population ◽  
Pseudocyst Formation ◽  
Invasive Intervention

Fetal ovarian cysts are common congenital lesions encountered in the neonatal population. These cysts are typically benign and rarely require any invasive intervention. Abdominal pseudocyst formation as a result of a ventriculoperitoneal shunt is a relatively infrequent occurrence and is similarly an uncommon cause of shunt failure. The authors present the case of a 4-month-old girl with shunted hydrocephalus who presented with shunt failure from a suspected abdominal pseudocyst that was found to be a fetal ovarian cyst.

scholarly journals Laparoscopic assisted ventriculoperitoneal shunt revisions as an option for pediatric patients with previous intraabdominal complications

2014 ◽  
Vol 72 (4) ◽  
pp. 307-311 ◽  
Author(s):  
Fernanda O. de Carvalho ◽  
Antonio R. Bellas ◽  
Luciano Guimarães ◽  
José Francisco Salomão
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Pediatric Patients ◽  
Pediatric Neurosurgery ◽  
Shunt Revision ◽  
Shunt Failure ◽  
Abdominal Pseudocyst ◽  
Effective Option ◽  
Video Laparoscopy ◽  
Laparoscopic Assisted

Multiple shunt failure is a challenge in pediatric neurosurgery practice and one of the most feared complications of hydrocephalus. Objective: To demonstrate that laparoscopic procedures for distal ventriculoperitoneal shunt failure may be an effective option for patients who underwent multiple revisions due to repetitive manipulation of the peritoneal cavity, abdominal pseudocyst, peritonitis or other situations leading to a “non reliable” peritoneum. Method: From March 2012 to February 2013, the authors reviewed retrospectively the charts of six patients born and followed up at our institution, which presented with previous intra-peritoneal complications and underwent ventriculoperitoneal shunt revision assisted by video laparoscopy. Results: After a mean follow-up period of nine months, all patients are well and no further shunt failure was identified so far. Conclusion: Laparoscopy assisted shunt revision in children may be, in selected cases, an effective option for patients with multiple peritoneal complications due to ventriculo-peritoneal shunting.

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
Keyword(s):  
Case Report ◽  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Abdominal Mass ◽  
Epithelial Lining ◽  
Vp Shunt ◽  
Abdominal Pseudocyst ◽  
Surgical Modality ◽  
Shunt Obstruction ◽  
Pseudocyst Formation

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.

Fenestration of Peritoneal Catheter to Avoid Abdominal Pseudocyst Formation after Ventriculoperitoneal Shunts: A Technical Note

2020 ◽  
Author(s):  
Antonio Scollato ◽  
Sokol Trungu ◽  
Stefano Forcato ◽  
Luca Ricciardi ◽  
Massimo Miscusi ◽  
...  
Keyword(s):  
Ventriculoperitoneal Shunt ◽  
Rare Complication ◽  
Technical Note ◽  
Additional Cost ◽  
Peritoneal Catheter ◽  
Effective Technique ◽  
Ventriculoperitoneal Shunts ◽  
Abdominal Pseudocyst ◽  
Reoperation Rates ◽  
Pseudocyst Formation

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.

scholarly journals Benign Ovarian Cysts with Raised CA-125 Levels: Do We Need to Evaluate the Fallopian Tubes?

2020 ◽  
Vol 12 (04) ◽  
pp. 276-280
Author(s):  
Devesh Sharma ◽  
Anjali Vinocha
Keyword(s):  
Ovarian Cancer ◽  
Ovarian Cyst ◽  
Transvaginal Ultrasound ◽  
Premenopausal Women ◽  
Carbohydrate Antigen ◽  
Ca 125 ◽  
Ovarian Cysts ◽  
Fallopian Tubes ◽  
Case Record ◽  
Carbohydrate Antigen 125

Abstract Objectives It is not clearly known whether some benign (simple) ovarian cysts can convert into cancerous cysts. Size of cyst and wall abnormalities do predict the potentiality of malignancy. Not many studies have been done to explore the malignant potential of large-sized (> 5 cm) unilocular ovarian cysts without wall abnormalities. This study evaluated the correlation between ultrasonographic size of benign ovarian cysts and carbohydrate antigen 125 (CA-125) levels. Methodology Sixty (60) premenopausal women were recruited for the study preoperatively, based on transvaginal ultrasound (TVUS) findings present in the case record sheet received along with the CA-125 sample in the biochemistry laboratories. Those cases with elevated CA-125 levels were selected, where patients had unilocular ovarian cysts without wall abnormalities. CA-125 was done using ECLIA methodology (Cobas e411, Germany). Statistical correlation was calculated between the ovarian cyst size and CA-125 levels using Spearman’s Rho coefficient. Results Mean age group of subjects were 29.7 ± 7.3 years and mean value of CA-125 (normal < 35 IU/mL) was found to be increased: 118.0 ± 147.1 IU/mL so was the mean diameter of cysts (cut off ≤ 5 cm): 48.6 ± 59.8 cm. No correlation was found between CA-125 levels and volume of ovarian cyst (r = 0.005, p = 0.680) for all subjects. Conclusions The lack of correlation between size of ovarian cysts and CA-125 levels provides a hint that the ovarian cyst epithelium does not directly express CA-125 and it may come from sites like the fallopian tube. Thus, raised level of CA-125 in benign ovarian cyst should be followed-up more closely, demanding assessment of fallopian tubes for early diagnosis of ovarian cancer. Also, algorithms can be explored to include size of ovarian cyst and CA 125 levels to predict ovarian cancer.

Early Detection of Wilms' Tumor in a Child with Hemihypertnophy and Ovarian Cysts

PEDIATRICS ◽  
1982 ◽  
Vol 70 (1) ◽  
pp. 135-136
Author(s):  
Deborah Tolchin ◽  
Mordecai Koenigsberg ◽  
Maria Santorineou
Keyword(s):  
Case Report ◽  
Early Detection ◽  
Ovarian Cyst ◽  
Wilms Tumor ◽  
Present Report ◽  
Ovarian Cysts ◽  
Term Pregnancy ◽  
Intravenous Pyelogram ◽  
Routine Examination ◽  
Bilateral Wilms Tumor

There have been many reports of the association between hemihypertrophy and intraabdominal masses, including Wilms' tumor, hepatoma, and adrenal cortical neoplasias.1 The present report describes a patient with segmental hemihypertrophy, multiple ovarian cysts, and bilateral Wilms' tumor and suggests a screening regimen for patients with hemihypertrophy. CASE REPORT The patient was a 9 lb 14 oz product of a term pregnancy, who was well until a mass filling the entire right side of the abdomen was discovered on routine examination at 4 months of age. Intravenous pyelogram (IVP) confirmed a large prerenal mass which on ultrasound was felt to be an ovarian cyst.

scholarly journals Surgical aspects of the treatment of neonatal ovarian cysts in girls

2021 ◽  
Vol 25 (4) ◽  
pp. 278-283
Author(s):  
D. A. Malysheva ◽  
A. A. Sukhotskaya ◽  
V. G. Bairov ◽  
I. M. Kagantsov ◽  
N. A. Kokhreidze ◽  
...  
Keyword(s):  
Ovarian Cyst ◽  
Postnatal Period ◽  
Premature Delivery ◽  
Ovarian Cysts ◽  
Joint Control ◽  
National Medical ◽  
Laparoscopic Fenestration ◽  
Dynamic Ultrasound ◽  
The Right

Introduction. Neonatal ovarian cysts develop in case of hormonal imbalance in the mother-placenta-fetus system. Cystic transformation in the ovary may cause appendage torsion which leads to follicular necrosis and loss of ovarian reserve. Most often, torsion occurs in the utero, but in premature girls- due to the specific hormonal status - the risk of cyst growth and its torsion remains in the postnatal period. Currently, a unified approach to the surgical treatment of neonatal ovarian cysts is absent.Material and methods. In the department of pediatric surgery for malformations in the Perinatal Center of the Amazov National Medical Research Center, 34 girls with ovarian cysts were examined during 2012-2020; 9 of them (27%) were premature. In the presented observation, we faced an ovarian cyst in the fetus of 30 week gestation.Results. The cyst looked uncomplicated, but had the enormous size, so we discussed a possibility to perform an intrauterine puncture. However, due to severe hemolytic disease of the fetus and premature delivery, the intervention was not carried out. By the third week of life, torsion of the cystic-transformed ovary developed; necrosis and self-amputation of the right uterine appendage were revealed intraoperatively. By the age of three months, cystic transformation of the only ovary developed. Timely performed laparoscopic fenestration was organ-sparing. Further follow-up revealed preserved and normally growing single ovary what confirmed the right choice of surgical tactics.Conclusion. Dynamic ultrasound examination of the pelvic organs is indicated to all premature girls, at least once every two weeks (in case of revealed ovarian cyst - weekly). We consider it reasonable to make the laparoscopic fenestration of uncomplicated cysts that have size of 3 cm and more. Newborn girls with ovarian cysts should be under the joint control of pediatrician and pediatric gynecologist for developing an individual follow-up plan.

scholarly journals Laparoscopic management of large ovarian cysts

2017 ◽  
Vol 6 (5) ◽  
pp. 1999
Author(s):  
Beeresh C. S. ◽  
Divyasree Doopadapalli ◽  
Vimala K. V. ◽  
Krishna Lingegowda
Keyword(s):  
Ovarian Cyst ◽  
Operating Time ◽  
Serum Marker ◽  
Ovarian Cysts ◽  
Preliminary Evaluation ◽  
Laparoscopic Management ◽  
Proper Patient Selection ◽  
Benign Pathology ◽  
Large Ovarian Cyst ◽  
Borderline Malignancy

Background: Large ovarian cysts are conventionally managed by laparotomy. This study was undertaken to assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts.Methods: Thirty-eight patients from January 2014 to December 2016, presumed to be large ovarian cyst were managed laparoscopically. Preliminary evaluation suggestive to be of benign ovarian cyst by history, clinical examination, sonographic imaging and basic serum marker were only included in this study. The cysts were aspirated initially followed by cystectomy, oophorectomy or total hysterectomy depending on age, parity, coexisting pathology and desire for future fertility.Results: Out of 38 cases, 6 were non-ovarian adnexal masses. 8 out of rest 32 cases presented with pain due to torsion were managed on emergency basis, rest of the cases were operated electively. Mean operating time was 90 minutes. Mean size of the cyst was 16 cms. One cases of borderline malignancy were detected and the rest showed benign pathology. Three of the cases required mini Laprotomy for specimen removal. Most of women were successfully treated laparoscopically without any complications and conversion to laparotomy was required in 3 cases.Conclusions: With proper patient selection and exclusion of malignancy, laparoscopic management of large ovarian cyst by general gynecologist is feasible.

Management of fetal ovarian cyst using in utero aspiration

2015 ◽  
Vol 4 (2) ◽  
Author(s):  
Seung Chik Jwa ◽  
Hiroaki Aoki ◽  
Ai Anami ◽  
Nagayoshi Umehara ◽  
Masahiro Sumie ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Ovarian Cyst ◽  
Expectant Management ◽  
In Utero ◽  
Ovarian Cysts

AbstractTo study the clinical outcome of fetal ovarian cysts managed withAll cases of fetal ovarian cysts diagnosed from 2002 to 2013 were reviewed.There were 21 cases of fetal ovarian cysts. Four patients (19%) were diagnosed with complex cysts at the time of referral. Among the 17 cases of simple cysts,Torsion of fetal ovarian cysts was common with expectant management. Management of fetal ovarian cysts larger than 4 cm using

scholarly journals Intestinal Necrosis due to Giant Ovarian Cyst: A Case Report

2013 ◽  
Vol 2013 ◽  
pp. 1-3 ◽  
Author(s):  
Ali Duran ◽  
Fulay Yilmaz Duran ◽  
Fevzi Cengiz ◽  
Ozgur Duran
Keyword(s):  
Case Report ◽  
Ovarian Cyst ◽  
Terminal Ileum ◽  
Ovarian Cysts ◽  
Ovarian Mass ◽  
Adult Case ◽  
Intestinal Necrosis

Intestinal pathologies due to ovarian cyst are observed rarely. Although a limited number of cases in neonatal and adolescent periods have been observed, no adult case has been reported in the literature. Two mechanisms are involved in intestinal complications due to ovarian cysts: torsion due to adhesion or compression of giant ovarian mass with a diameter of 9-10 cm. We report here a terminal ileum necrosis case due to compression by an ovarian cyst with 11 × 10 × 7 cm size in an 81-year-old woman.

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