Abdominal Cerebrospinal Fluid Pseudocyst Masquerading as Ascites in an Adolescent Girl

Stetson, Raymond C.; Goyal, Kiran A.; Sandefur, Benjamin J.

doi:10.1016/j.jemermed.2016.11.021

Cited by 3 publications

(4 citation statements)

References 5 publications

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“…Abdominal mass, abdominal pain, vomiting, headache, or signs of compression are the most frequently encountered clinical symptoms [6]. Our two observations found abdominal pain, abdominal mass, and vomiting.…”

Section: Discussionsupporting

confidence: 52%

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Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Seck¹,

Wellé²,

Dieng³

et al. 2023

OJMN

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An abdominal cerebrospinal fluid pseudocyst is a rare complication of ventriculoperitoneal shunt. Several theories have been suggested to explain its occurrence. The main symptoms are painful abdominal distension and vomiting, abdominal distension on examination, as abdominal ultrasound and computed tomography confirm its diagnosis. The treatment involves drainage associated with drain relocation and resection of the pseudocyst's wall. We report two patients diagnosed with this condition who underwent surgical treatment. The first patient had an unremarkable 12-month follow-up, while the second died on the seventh postoperative day due to intravascular disseminated coagulation. In these patients, the cause has not been identified; however, an infection cannot be ruled out.

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Section: Discussionsupporting

confidence: 52%

“…On the other hand, several studies have demonstrated the equivalence of sensitivity between ultrasound and CT to confirm the diagnosis of abdominal CSF pseudocyst [5] [8]. However, some authors consider CT more indicated in some instances of large or too painful pseudocysts or the search for other etiologies [6] [7].…”

Section: Discussionmentioning

confidence: 99%

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Seck¹,

Wellé²,

Dieng³

et al. 2023

OJMN

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show abstract

“…POCUS is a fast, non-invasive, and radiation-free imaging modality that can be used to diagnose abdominal pseudocysts at the bedside 17,18. On ultrasound, abdominal pseudocysts appear as anechoic (black) fluid collections with well-defined, hyperechoic (bright) margins 11,19.…”

Section: Discussionmentioning

confidence: 99%

Abdominal Cerebrospinal Fluid Pseudocyst Diagnosed with Point-of-care Ultrasound

Guest

Merjanian

Chiu

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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Abdominal pseudocysts are rare complications of ventriculoperitoneal (VP) shunts characterized by accumulations of cerebrospinal fluid surrounded by fibrous layers in the intra-abdominal cavity or abdominal wall. We present a woman with bilateral VP shunts who presented with right-sided abdominal distension, pain, and tenderness and who was found to have an abdominal pseudocyst on point-of-care ultrasound and computed tomography. Given the potential to develop a secondary infection or VP shunt malfunction, it is important for emergency providers to consider intra-abdominal complications of VP shunts, including rare ones such as abdominal pseudocysts, in these patients who present with vague abdominal complaints.

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“…The peritoneum is not the only site of collection formation; cases with CSF collections have also been reported in subcutaneous cellular tissue, in the breast after breakage and migration of the distal portion of the catheter, in the neck because of perforation of the shunt after jugular catheterization and the liver is another unusual site of pseudocyst formation [15]. Children with ACP typically present with symptoms of shunt malfunction such as headache, nausea and vomiting as opposite to adult patients who present with abdominal signs [1][2][3][4][5][6][7][8][9][10][11]. In the present report, signs of high intracranial pressure were the main complaints for referral.…”

Section: Discussionmentioning

confidence: 99%

A Giant Abdominal Cerebrospinal Fluid Pseudocyst

Ouladsaiad

Hokoumi

Aballa

2017

IrJNS

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Background and Aim: Ventriculoperitoneal shunt (VPS) is the most commonly used procedure for treatment of hydrocephalus in children. Abdominal cerebrospinal fluid pseudocyst is a rare complication but potentially fatal. The pathogenesis of this complication remains unclear. This complication should be considered during differential diagnosis of an abdominal mass. Our aim is to report how large and giant an abdominal cerebrospinal fluid pseudocyst can develop, and how severe the neurological damage can be. Case Presentation: A 6 year-old girl known to have a ventriculoperitoneal shunt presented with abdominal distension and signs of increased Intracranial Pressure (ICP). Ultrasonography revealed a hypoechoic intraperitoneal fluid containing cyst with a well-defined margin and septations. Abdominal computerized tomography revealed a huge cyst in the abdomen and the distal part of the peritoneal shunt tube located within the cyst. Laparotomy revealed a huge cyst extending from the upper right side of the abdomen to the pelvis. The whole cyst was excised and the catheter repositioned. Conclusion: Early diagnosis of abdominal Cerebrospinal Fluid (CSF) pseudocyst is only possible through close and periodic examination of patients after the procedure.

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Abdominal Cerebrospinal Fluid Pseudocyst Masquerading as Ascites in an Adolescent Girl

Cited by 3 publications

References 5 publications

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Abdominal Cerebrospinal Fluid Pseudocyst—A Rare Complication of Ventriculoperitoneal Shunt

Abdominal Cerebrospinal Fluid Pseudocyst Diagnosed with Point-of-care Ultrasound

A Giant Abdominal Cerebrospinal Fluid Pseudocyst

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