Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion
Key Clinical Message Abdominal pseudocyst is a rare complication of ventriculoperitoneal (VP) shunt placement. Ventriculopleural shunt (VPL) can be an effective treatment option for the recurrent complications of VP shunt failure. Abstract Abdominal pseudocyst (APC) is a rare complication of ventric...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-09-01
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| Series: | Clinical Case Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/ccr3.7902 |
| _version_ | 1797655173877727232 |
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| author | Nishan Shrestha Naveen Gautam Merina Shrestha |
| author_facet | Nishan Shrestha Naveen Gautam Merina Shrestha |
| author_sort | Nishan Shrestha |
| collection | DOAJ |
| description | Key Clinical Message Abdominal pseudocyst is a rare complication of ventriculoperitoneal (VP) shunt placement. Ventriculopleural shunt (VPL) can be an effective treatment option for the recurrent complications of VP shunt failure. Abstract Abdominal pseudocyst (APC) is a rare complication of ventriculoperitoneal (VP) shunt placement for the treatment of congenital hydrocephalus. This case report presents a two‐and‐a‐half‐year‐old male child who underwent VP shunt placement for aqueductal stenosis‐related hydrocephalus. The patient subsequently developed recurrent shunt failure and an APC, which was managed initially by surgical excision of the cyst and repositioning of the catheter. However, shunt failure recurred. The patient underwent ventriculopleural (VPL) shunt conversion as a more viable option for recurrent blockage. Postoperatively, the patient developed respiratory distress with massive pleural effusion, which was treated with chest tube insertion. This case highlights the complexity of managing congenital hydrocephalus and its rare complication, APC. Prompt recognition and appropriate management of APC can lead to improved outcomes and minimize the need for invasive procedures. VPL shunt conversion can be considered an alternative treatment option when other treatments have failed. Further research is needed to establish guidelines for the management of APC and determine the long‐term effectiveness of VPL shunting. |
| first_indexed | 2024-03-11T17:10:19Z |
| format | Article |
| id | doaj.art-63bc3cf47b92418b871c28c54560f0e1 |
| institution | Directory Open Access Journal |
| issn | 2050-0904 |
| language | English |
| last_indexed | 2024-03-11T17:10:19Z |
| publishDate | 2023-09-01 |
| publisher | Wiley |
| record_format | Article |
| series | Clinical Case Reports |
| spelling | doaj.art-63bc3cf47b92418b871c28c54560f0e12023-10-20T06:16:22ZengWileyClinical Case Reports2050-09042023-09-01119n/an/a10.1002/ccr3.7902Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversionNishan Shrestha0Naveen Gautam1Merina Shrestha2Intern doctor Tribhuvan University Teaching Hospital Kathmandu NepalIntern doctor Tribhuvan University Teaching Hospital Kathmandu NepalPaediatrics Tribhuvan University Teaching Hospital Kathmandu NepalKey Clinical Message Abdominal pseudocyst is a rare complication of ventriculoperitoneal (VP) shunt placement. Ventriculopleural shunt (VPL) can be an effective treatment option for the recurrent complications of VP shunt failure. Abstract Abdominal pseudocyst (APC) is a rare complication of ventriculoperitoneal (VP) shunt placement for the treatment of congenital hydrocephalus. This case report presents a two‐and‐a‐half‐year‐old male child who underwent VP shunt placement for aqueductal stenosis‐related hydrocephalus. The patient subsequently developed recurrent shunt failure and an APC, which was managed initially by surgical excision of the cyst and repositioning of the catheter. However, shunt failure recurred. The patient underwent ventriculopleural (VPL) shunt conversion as a more viable option for recurrent blockage. Postoperatively, the patient developed respiratory distress with massive pleural effusion, which was treated with chest tube insertion. This case highlights the complexity of managing congenital hydrocephalus and its rare complication, APC. Prompt recognition and appropriate management of APC can lead to improved outcomes and minimize the need for invasive procedures. VPL shunt conversion can be considered an alternative treatment option when other treatments have failed. Further research is needed to establish guidelines for the management of APC and determine the long‐term effectiveness of VPL shunting.https://doi.org/10.1002/ccr3.7902abdominal pseudocystcongenital hydrocephalusventriculoperitoneal shuntventriculopleural shunt |
| spellingShingle | Nishan Shrestha Naveen Gautam Merina Shrestha Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion Clinical Case Reports abdominal pseudocyst congenital hydrocephalus ventriculoperitoneal shunt ventriculopleural shunt |
| title | Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion |
| title_full | Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion |
| title_fullStr | Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion |
| title_full_unstemmed | Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion |
| title_short | Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion |
| title_sort | abdominal pseudocyst complicating ventriculoperitoneal shunt a rare indication for ventriculopleural shunt conversion |
| topic | abdominal pseudocyst congenital hydrocephalus ventriculoperitoneal shunt ventriculopleural shunt |
| url | https://doi.org/10.1002/ccr3.7902 |
| work_keys_str_mv | AT nishanshrestha abdominalpseudocystcomplicatingventriculoperitonealshuntarareindicationforventriculopleuralshuntconversion AT naveengautam abdominalpseudocystcomplicatingventriculoperitonealshuntarareindicationforventriculopleuralshuntconversion AT merinashrestha abdominalpseudocystcomplicatingventriculoperitonealshuntarareindicationforventriculopleuralshuntconversion |