Case History: A 45-year-old patient with history of brain tumor with ventriculoperitoneal shunt presented with complaints of abdominal pain.
45-year-old patient with history of brain tumor with ventriculoperitoneal shunt presented with complaints of abdominal pain.
Figure 1. Shows multiloculated cystic lesion in pelvis and lower abdomen around shunt opening.
Figure 2. Shows multiloculated cystic lesion in pelvis and lower abdomen around shunt opening.
Figure 3. Shows multiloculated cystic lesion in pelvis and lower abdomen around shunt opening.
Figure 4. Shows multiloculated cystic lesion in pelvis and lower abdomen around shunt opening.
Figure 5. Shows multiloculated cystic lesion in pelvis and lower abdomen around shunt opening.Figure 5. Shows lower end of VP stunt.
Figure 6. Shows lower end of VP stunt.
CT abdomen was performed which showed a large multicystic SOL in pelvis around the end of peritoneal shunt.
Ultrasonography or CT can indicate a definitive diagnosis.
CT may show a small or massive, loculated cyst-like structure in the peritoneal cavity at the distal tip of VP shunt.
A peritoneal CSF pseudocyst is a rare complication of ventriculoperitoneal shunt catheter placement.Â
The wall is composed of fibrous tissue without an epithelial lining and is filled with cerebrospinal fluid.
Excision or repositioning of the shunt tip with minimally invasive laparoscopic techniques is usually performed.
Possible differential diagnoses include mesenteric abscess, lymphocele, and seroma.
