Huge subcutaneous extraperitoneal pseudocyst after migration of the ventriculoperitoneal shunt catheter
| Autor: | Christian Rios-Vicil, Orlando De Jesus, Joel E Pellot Cestero, Eric F Carro-Figueroa |
|---|---|
| Rok vydání: | 2023 |
| Předmět: |
Male
medicine.medical_specialty business.industry Cysts Abdominal Wall General Medicine Schwannoma Middle Aged medicine.disease Ventriculoperitoneal Shunt Surgery Hydrocephalus Shunt (medical) Abdominal wall Quadrant (abdomen) Catheter medicine.anatomical_structure Catheters Indwelling medicine Abdomen Humans Extraperitoneal space business |
| Zdroj: | BMJ case reports. 14(12) |
| ISSN: | 1757-790X |
| Popis: | The formation of an intraperitoneal pseudocyst as a complication of ventriculoperitoneal shunts is well known. However, the formation of a pseudocyst at the subcutaneous extraperitoneal abdominal space is unusual and likely secondary to the migration of the peritoneal catheter. We present a 53-year-old male who had placement of a ventriculoperitoneal shunt for hydrocephalus secondary to a vestibular schwannoma. Five months later, he presented with an enormously distended abdomen. Investigations showed the peritoneal catheter in the extraperitoneal space within a large right lower quadrant abdominal wall pseudocyst. The patient was taken to the operating theatre, and the shunt was externalised at the original abdominal incision. Approximately 3 L of cerebrospinal fluid were aspirated from the distal peritoneal catheter. After negative cultures, a new peritoneal catheter was placed intraperitoneally at the contralateral lower abdominal quadrant. The contralateral quadrant was utilised to prevent fluid accumulation into the old extraperitoneal cavity. |
| Databáze: | OpenAIRE |
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