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

Laparoskopische Therapie einer Bauchkomplikation durch einen ventrikuloperitonealen Shunt: ein Fallbericht

European Surgery volume 42, pages 184–186 (2010)Cite this article

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.

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.

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References

  • Rainov N, Schobess A, Heidecke V, et al. Abdominal CSF pseudocysts in patients with ventriculo-peritoneal shunts. Report of fourteen cases and review of the literature. Acta Neurochir (Wien) 1994;127:73–8

    Article  CAS  Google Scholar 

  • Anderson CM, Sorrells DL, Kerby JD. Intraabdominal pseudocyst as a complication of ventriculoperitoneal shunts. Am Coll Surg 2003;196:297–300

    Article  Google Scholar 

  • Acharya R, Ramachandran CS, Singh S. Laparoscopic management of abdominal complications in ventriculoperitoneal shunt surgery. J Laparoendosc Adv Surg Tech A 2001;11:167–70

    Article  CAS  PubMed  Google Scholar 

  • Jain S, Bhandarkar D, Shah R, et al. Laparoscopic management of complicated ventriculoperitoneal shunts. Neurol India 2003;51:269–70

    CAS  PubMed  Google Scholar 

  • Grosfeld JL, Cooney DR, Smith J, et al. Intra-abdominal complications following ventriculo-peritoneal shunt procedures. Pediatrics 1974;54:791–6

    CAS  PubMed  Google Scholar 

  • Turner R, Chahlavi A, Rasmussen P, et al. Laparoscopic revision of a ventriculoperitoneal shunt. J Laparoendosc Adv Surg Tech A 2004;14:310–2

    Article  PubMed  Google Scholar 

  • Harsh GR. Peritoneal shunt for hydrocephalus: utilising the fimbria of the fallopian tube for entrance to the peritoneal cavity. J Neurosurg 1954;11:284–94

    Article  PubMed  Google Scholar 

  • Ersahin Y, Mutluer S, Tekeli G. Abdominal cerebrospinal fluid pseudocysts. Childs Nerv Syst 1996;12:755–8

    Article  CAS  PubMed  Google Scholar 

  • Birbilis T, Kontogianidis K, Matis G, et al. Intraperitoneal cerebrospinal fluid pseudocyst. A rare complication of ventriculoperitoneal shunt. Chirurgia (Bucur) 2008;103:351–3

    Google Scholar 

  • Gaskill SJ, Marlin AE. Pseudocysts of the abdomen associated with ventriculoperitoneal shunts. Pediatr Neurosci 1989; 15:23–7

    Article  CAS  PubMed  Google Scholar 

  • Hounz RA, Glazier MC, Mealey J Jr, et al. Cerebrospinal ascites complicating ventriculoperitoneal shunt: report of four cases. J Neurosurg 1984;61:180–3

    Article  Google Scholar 

  • Horikawa M, Yamada T, Tominaga K, et al. Abdominal cerebrospinal fluid pseudocyst in a severely handicapped patient with hydrocephalus. J Child Neurol 1999;14:329–31

    Article  CAS  PubMed  Google Scholar 

  • Roitberg BZ, Tomita T, McLone DG. Abdominal cerebrospinal fluid pseudocyst. Pediatr Neurosurg 1998;29:267–73

    Article  CAS  PubMed  Google Scholar 

  • Choudhury AR. Avoidable factors that contribute to the complications of ventriculoperitoneal shunt in childhood hydrocephalus. Child's Nerv Syst 1990;6:346–9

    Article  CAS  Google Scholar 

  • Kaplan M, Ozel SK, Dönmez O, et al. Treatment approaches for abdominal migration of peritoneal catheter of ventriculoperitoneal shunt. Turk Neurosurg 2007;17:158–62

    PubMed  Google Scholar 

  • Gupta R. Migrated ventriculo-peritoenal shunt in the inguinal hernial sac. Indian J Surg 2003;65:186–7

    Google Scholar 

  • Goeser CD, McLeary MS, Young LW. Diagnostic imaging of ventriculoperitoneal shunt malfunctions and complications. Radiographics 1998;18:635–51

    Article  CAS  PubMed  Google Scholar 

  • Pathi R, Sage M, Slavotinek J, et al. Abdominal cerebrospinal fluid pseudocyst. Australas Radiol 2004;48:61–3

    Article  PubMed  Google Scholar 

  • Pernas JC, Catala J. Case 72: pseudocyst around ventriculoperitoneal shunt. Radiology 2004;232:239–43

    Article  PubMed  Google Scholar 

  • Kim HB, Raghavendran K, Kleinhaus S. Management of an abdominal cerebrospinal fluid pseudocyst using laparoscopic techniques. Surg Laparosc Endosc 1995;5:151–4

    Article  CAS  PubMed  Google Scholar 

Download references

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Authors and Affiliations

  1. First Department of Surgery "N. Anestiadi" and Laboratory of Hepato-Pancreato-Biliary Surgery, Emergency Municipal Hospital, Medical University "N.Testemitsanu", Kishinev, Moldova

    G. Ghidirim, I. Mishin, G. Zastavnitsky, V. Spataru & M. Brinza

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  1. G. Ghidirim
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  2. I. Mishin
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  3. G. Zastavnitsky
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  4. V. Spataru
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  5. M. Brinza
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Correspondence to I. Mishin.

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Ghidirim, G., Mishin, I., Zastavnitsky, G. et al. Laparoscopic management of associated abdominal complications of ventriculoperitoneal shunt: case report. Eur Surg 42, 184–186 (2010). https://doi.org/10.1007/s10353-010-0543-0

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  • DOI: https://doi.org/10.1007/s10353-010-0543-0

Schlüsselwörter

  • Ventrikuloperitonealer Shunt
  • Pseudozyste
  • Laparoskopie

Keywords

  • Ventriculoperitoneal shunt
  • Cerebrospinal fluid pseudocyst
  • Laparoscopic management