Ultrasound-guided percutaneous aspiration of abdominal pseudocyst following ventriculoperitoneal shunt implantation in a child: A case report
| Autor: | Motaip Hamad Alrawili, Reema AlSadhan, Mohammad Saquib Mallick |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Abdominal pain Percutaneous aspiration medicine.diagnostic_test business.industry Ultrasound Interventional radiology General Medicine digestive system diseases 030218 nuclear medicine & medical imaging Shunt (medical) Surgery 03 medical and health sciences 0302 clinical medicine medicine.anatomical_structure medicine Vomiting Abdomen medicine.symptom Complication business 030217 neurology & neurosurgery |
| Zdroj: | American Journal of Interventional Radiology. 4:19 |
| ISSN: | 2572-4606 2572-4614 |
| DOI: | 10.25259/ajir_32_2019 |
| Popis: | Pseudocyst is a rare complication of ventriculoperitoneal shunt (VPS) seen in 1–4% of pediatric age group and it’s usually managed by surgical excision. We report a new case of cerebrospinal fluid pseudocyst complicating VPS that was managed by percutaneous aspiration resulting in a successful outcome. A 2-year-old male presented with fever, abdominal pain, diarrhea, and vomiting. Abdomen examination showed palpable tender epigastric mass. Ultrasound examination and CT scan of the abdomen demonstrated localized epigastric fluid collection. He was managed with IV antibiotics, shunt externalization, and percutaneous aspiration of the pseudocyst. On follow-up examination, no similar symptoms were recorded. Percutaneous aspiration is a more conservative and effective approach in managing VPS pseudocyst in the new era of interventional radiology. Although the occurrence of abdominal pseudocyst is rare, a high index of suspicion should be maintained to avoid the risk of ascending infection. |
| Databáze: | OpenAIRE |
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