A case of recurrent abdominal cerebrospinal fluid pseudocyst associated with a ventriculoperitoneal shunt in a child

DOI
  • Nagai Kenichiro
    Department of Neurosurgery, Fukushima Medical University
  • Sakuma Jun
    Department of Neurosurgery, Fukushima Medical University
  • Yamanoi Yu
    Department of Neurosurgery, Fukushima Medical University
  • Nemoto Mio
    Department of Neurosurgery, Fukushima Medical University
  • Hiruta Ryo
    Department of Neurosurgery, Fukushima Medical University
  • Sato Yusuke
    Department of Neurosurgery, Fukushima Medical University
  • Bakhit Mudathir S
    Department of Neurosurgery, Fukushima Medical University
  • Goto Yudai
    Department of Pediatric Surgery, Fukushima Medical University Hospital
  • Shimizu Hirofumi
    Department of Pediatric Surgery, Fukushima Medical University Hospital
  • Tanaka Hideaki
    Department of Pediatric Surgery, Fukushima Medical University Hospital
  • Saito Kiyoshi
    Department of Neurosurgery, Fukushima Medical University

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Other Title
  • VPシャント後に再発を繰り返した腹腔内髄液仮性嚢胞の1小児例：症例提示と文献レビュー

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Description

<p>Ventriculoperitoneal (VP) shunt is a standard neurosurgical procedure to manage hydrocephalus. Generally, there are several complication of VP shunt, and one of these rare complications is the abdominal cerebrospinal fluid pseudocyst (APC). Here, we report a case of a 12-year-old female, a known patient of hydrocephalus with a VP shunt. She presented with abdominal pain and swelling, and computed tomography scans revealed a large APC. Laparoscopic cyst fenestration and externalization of the VP shunt were performed, followed by an improvement of her symptoms. A new abdominal tube of the VP shunt was inserted about two weeks later, but the APC recurred after two weeks. Hence, we inserted a ventriculoarterial (VA) shunt since the APC kept recurring with VP shunts. After that, she had an uneventful clinical course without an APC recurrence until present time. Accordingly, we recommend inserting VA shunt for patients with VP shunt complicated with a recurrent APC.</p>

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