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CC BY-NC-ND 4.0 · Asian J Neurosurg 2017; 12(01): 13-16
DOI: 10.4103/1793-5482.145539
ORIGINAL ARTICLE

Post ventriculoperitoneal shunt abdominal pseudocyst: Challenges posed in management

Raashid Hamid
Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir
,
Aejaz Baba
Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir
,
Nisar Bhat
Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir
,
Gowhar Mufti
Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir
,
Younis Mir
Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir
,
Wani Sajad
Department of Paediatric and Neonatal Surgery, SKIMS, Srinagar, Jammu and Kashmir
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Background: In patients with hydrocephalus, the abdominal cavity has been used for absorption of cerebrospinal fluid (CSF) since 1905. Ventriculoperitoneal (VP) shunt operation is followed by abdominal complications in about 5-47% cases. Abdominal CSF pseudo cyst is an uncommon, but well described complication. Aim: This survey was conducted to study the clinical profile and management of this entity. We present our experience with cases of CSF pseudo cyst in children. Materials and Methods: Retrospective analysis of 4 cases diagnosed to have abdominal pseudo cyst following VP shunt between 2008 and 2013. All the four cases were suspected clinically and diagnosis was confirmed by abdominal ultrasonography. Results: In three patients, the cyst was multilocular and of varying size. Fourth one had a unilocular cyst at the lower end of VP shunt. All the four patients had features of varying degree raised intracranial pressure and a two patients had abdominal signs also. All the patients needed open exploration. Cyst fluid was drained and partial to complete excision of the cyst was done along with the repositioning of the shunt in abdominal cavity in three patients and exteriorization of shunt in one patient. Patients were followed for any further complication over a period of 1-year. Conclusion: Abdominal pseudo cyst is a rare complication after VP Shunt and could result in shunt malfunction or abdominal symptoms and signs. Whenever suspected it should be confirmed by imaging, followed by open exploration and repositioning of the shunt.

Key-words:

Abdominal pseudocyst - cerebrospinal fluid - intracranial tension - ventriculoperitoneal shunt


Publication History

Article published online:
20 September 2022

© 2017. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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