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Huge subcutaneous extraperitoneal pseudocyst after migration of the ventriculoperitoneal shunt catheter
- Source :
- BMJ case reports. 14(12)
- Publication Year :
- 2023
-
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.
- Subjects :
- Male
medicine.medical_specialty
business.industry
Cysts
Abdominal Wall
General Medicine
Schwannoma
Middle Aged
medicine.disease
Ventriculoperitoneal Shunt
Surgery
Hydrocephalus
Shunt (medical)
Abdominal wall
Quadrant (abdomen)
Catheter
medicine.anatomical_structure
Catheters, Indwelling
medicine
Abdomen
Humans
Extraperitoneal space
business
Subjects
Details
- ISSN :
- 1757790X
- Volume :
- 14
- Issue :
- 12
- Database :
- OpenAIRE
- Journal :
- BMJ case reports
- Accession number :
- edsair.doi.dedup.....2654376def4daa0732290b833a2707d7