Hepatic cerebrospinal fluid pseudocyst: A case report and review of the literature

C. T. Hsieh, C. C. Pai, T. H. Tsai, Y. H. Chiang, Y. H. Su

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10 Citations (Scopus)

Abstract

An abdominal pseudocyst is a rare, but important complication in patients with a ventriculo-peritoneal (VP) shunt insertion. Several predisposing factors for this complication have been suggested, including infection, obstruction or dislodgement, but the pathophysiology is still unknown. However, the abdominal inflammatory process is accepted widely as a hypothesis for the formation of an abdominal pseudocyst. In this study, we report the case of a 21-year-old male that presented with a high-grade fever, poor appetite, shortness of breath and unconsciousness 1 week after receiving a VP shunt insertion for obstructive hydrocephalus. Ultrasonography and computed tomographic scans of the abdomen revealed a well-defined large hepatic cyst surrounding the peritoneal tube of the VP shunt. A hepatic cerebrospinal fluid (CSF) cyst was diagnosed and Staphylococcus epidermis was cultured via CSF. After externalization of the VP shunt and adequate antibiotic treatment, the hepatic cyst was resolved. There was no recurrence observed in the regular follow up.

Original languageEnglish
Pages (from-to)86-88
Number of pages3
JournalNeurology India
Volume54
Issue number1
Publication statusPublished - Jan 1 2006
Externally publishedYes

Keywords

  • Abdominal pseudocyst
  • Hydrocephalus
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

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    Hsieh, C. T., Pai, C. C., Tsai, T. H., Chiang, Y. H., & Su, Y. H. (2006). Hepatic cerebrospinal fluid pseudocyst: A case report and review of the literature. Neurology India, 54(1), 86-88.