| 摘要 |
Ventriculoperitoneal shunts are commonly employed in the management of hydrocephalus but numerous and various complications have been reported in the
medical literature. We reported a case of an abdominal cerebrospinal fluid pseudocyst as a rare complication of ventriculoperitoneal shunt. The patient, prematurely born, underwent a ventriculoperitoneal shunt at birth because of hydrocephalus.
At the age of 9 he suffered from frequent vomiting, and poor activity was found
and persisted for one month. In the meanwhile, a bulging mass was noted over the
right lower abdominal wall. On abdominal ultrasonography and computed topography
scan, the patient was diagnosed as having an abdominal cyst. Laparotomy
with removal of the cyst and segmental intestinal resection due to adhesion and
stenosis led to the uneventful recovery of the patient. It is suggested that in a patient where there is suspicion of an abdominal pseudocyst that developed abdominal symptoms and signs following a ventriculoperitoneal shunt, ultrasonography and/or abdominal CT provide a definitive diagnosis of this entity. Meanwhile, simple cyst evacuation and shunt reposition might be the sufficient treatment for this complication, if infection is not present. |
