Huge subcutaneous extraperitoneal pseudocyst after migration of the ventriculoperitoneal shunt catheter.
Publication/Presentation Date
12-1-2021
Abstract
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.
Volume
14
Issue
12
ISSN
1757-790X
Published In/Presented At
De Jesus, O., Rios-Vicil, C., Pellot Cestero, J. E., & Carro-Figueroa, E. F. (2021). Huge subcutaneous extraperitoneal pseudocyst after migration of the ventriculoperitoneal shunt catheter. BMJ case reports, 14(12), e246681. https://doi.org/10.1136/bcr-2021-246681
Disciplines
Medicine and Health Sciences
PubMedID
34853048
Department(s)
Department of Surgery, Department of Surgery Residents, Fellows and Residents
Document Type
Article