European Surgery

, Volume 42, Issue 4, pp 184–186 | Cite as

Laparoscopic management of associated abdominal complications of ventriculoperitoneal shunt: case report

  • G. Ghidirim
  • I. Mishin
  • G. Zastavnitsky
  • V. Spataru
  • M. Brinza
Case Report

Summary

BACKGROUND: Abdominal complications after ventriculoperitoneal (VP) shunt placement are reported in 5–47% of cases. Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication of a VP shunt, the majority being reported in children. Abdominal pseudocysts and intra-abdominal catheter migration are rare in adult patients. Ventriculoperitoneal shunt obstruction or malfunction results in elevated intracranial pressure, representing an indication for immediate intervention. METHODS: Case report. RESULTS: The authors report a case of successful laparoscopic management in a 20-year-old female patient who developed CSF pseudocyst combined with migration of the fractured catheter in the abdominal cavity nine years after VP shunting for hydrocephalus. CONCLUSIONS: Laparoscopic approach is a safe and useful treatment modality for combined peritoneal complications of VP shunt.

Keywords

Ventriculoperitoneal shunt Cerebrospinal fluid pseudocyst Laparoscopic management 

Laparoskopische Therapie einer Bauchkomplikation durch einen ventrikuloperitonealen Shunt: ein Fallbericht

Zusammenfassung

GRUNDLAGEN: In 5–47 % der Fälle kommt es nach ventrikuloperitonealem Shunt zu abdominellen Komplikationen. Eine seltene Komplikation ist die abdominelle zerebrospinale Flüssigkeits-Pseudozyste, die meist bei Kindern vorkommt. Abdominale Pseudozysten und intraabdominelle Katheter-Migration sind bei Erwachsenen selten. Obstruktion des Shunts führt zu erhöhtem Hirndruck und bedarf einer sofortigen Intervention. METHODIK: Fallbericht. ERGEBNISSE: Wir berichten über das erfolgreiche Management einer 20-jährigen Frau, die eine solche Pseudozyste mit Migration des abgebrochenen Katheters in die Bauchhöhle 9 Jahre nach Hydrozephalus-Therapie entwickelte. SCHLUSSFOLGERUNGEN: Laparoskopisch kann die abdominelle Komplikation eines solchen Shunts gut therapiert werden.

Schlüsselwörter

Ventrikuloperitonealer Shunt Pseudozyste Laparoskopie 

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Copyright information

© Springer-Verlag 2010

Authors and Affiliations

  • G. Ghidirim
    • 1
  • I. Mishin
    • 1
  • G. Zastavnitsky
    • 1
  • V. Spataru
    • 1
  • M. Brinza
    • 1
  1. 1.First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary SurgeryEmergency Municipal Hospital, Medical University "N.Testemitsanu"KishinevMoldova

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