Subscribe to RSS
![](/products/assets/desktop/img/oa-logo.png)
DOI: 10.1055/s-0035-1549059
Abdominal Cerebrospinal Fluid Pseudocysts in Children: A Complication of Ventriculoperitoneal Shunt
Publication History
Publication Date:
20 March 2015 (online)
![](https://www.thieme-connect.de/media/10.1055-s-00028728/201501/lookinside/thumbnails/10.1055-s-0035-1549059-1.jpg)
Abstract
Abdominal cerebrospinal fluid (CSF) pseudocyst is a rare complication of ventriculoperitoneal (VP) shunt. It is characterized by collection of cerebrospinal fluid in the peritoneal cavity, containing the distal end of the VP shunt catheter and is surrounded by a wall composed of fibrous tissue without an epithelial lining. In this article, we report four cases of abdominal cerebrospinal fluid pseudocyst in children with VP shunt, performed for tuberculous meningitis with hydrocephalus. We have described the etiopathogenesis, the symptomatology, the diagnostic investigations, the treatment method adopted, and proposed a simple and effective treatment protocol that has resulted in rapid resolution of symptoms in all our patients. Also, one of our cases had the largest abdominal CSF pseudocyst reported in the literature with respect to weight and height of the child.
-
References
- 1 Rainov N, Schobess A, Heidecke V, Burkert W. Abdominal CSF pseudocysts in patients with ventriculo-peritoneal shunts. Report of fourteen cases and review of the literature. Acta Neurochir (Wien) 1994; 127 (1–2) 73-78
- 2 Salomão JF, Leibinger RD. Abdominal pseudocysts complicating CSF shunting in infants and children. Report of 18 cases. Pediatr Neurosurg 1999; 31 (5) 274-278
- 3 Pernas JC, Catala J. Case 72: pseudocyst around ventriculoperitoneal shunt. Radiology 2004; 232 (1) 239-243
- 4 Mobley III LW, Doran SE, Hellbusch LC. Abdominal pseudocyst: predisposing factors and treatment algorithm. Pediatr Neurosurg 2005; 41 (2) 77-83
- 5 Aparici-Robles F, Molina-Fabrega R. Abdominal cerebrospinal fluid pseudocyst: a complication of ventriculoperitoneal shunts in adults. J Med Imaging Radiat Oncol 2008; 52 (1) 40-43
- 6 Erşahin Y, Mutluer S, Tekeli G. Abdominal cerebrospinal fluid pseudocysts. Childs Nerv Syst 1996; 12 (12) 755-758
- 7 Grosfeld JL, Cooney DR, Smith J, Campbell RL. Intra-abdominal complications following ventriculoperitoneal shunt procedures. Pediatrics 1974; 54 (6) 791-796
- 8 Hashimoto M, Yokota A, Urasaki E, Tsujigami S, Shimono M. A case of abdominal CSF pseudocyst associated with silicone allergy. Childs Nerv Syst 2004; 20 (10) 761-764
- 9 Lee TG, Parsons PM. Ultrasound diagnosis of cerebrospinal fluid abdominal cyst. Radiology 1978; 127 (1) 220
- 10 Popa F, Grigorean VT, Onose G, Popescu M, Strambu V, Sandu AM. Laparoscopic treatment of abdominal complications following ventriculoperitoneal shunt. J Med Life 2009; 2 (4) 426-436