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

研究成果: 雜誌貢獻文章

9 引文 (Scopus)

摘要

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.

原文英語
頁(從 - 到)86-88
頁數3
期刊Neurology India
54
發行號1
出版狀態已發佈 - 一月 1 2006
對外發佈Yes

指紋

Ventriculoperitoneal Shunt
Cerebrospinal Fluid
Cysts
Liver
Unconsciousness
Appetite
Hydrocephalus
Staphylococcus
Epidermis
Causality
Abdomen
Dyspnea
Ultrasonography
Fever
Anti-Bacterial Agents
Recurrence
Infection
Therapeutics

ASJC Scopus subject areas

  • Clinical Neurology
  • Neuroscience(all)

引用此文

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.

Hepatic cerebrospinal fluid pseudocyst : A case report and review of the literature. / Hsieh, C. T.; Pai, C. C.; Tsai, T. H.; Chiang, Y. H.; Su, Y. H.

於: Neurology India, 卷 54, 編號 1, 01.01.2006, p. 86-88.

研究成果: 雜誌貢獻文章

Hsieh, CT, Pai, CC, Tsai, TH, Chiang, YH & Su, YH 2006, 'Hepatic cerebrospinal fluid pseudocyst: A case report and review of the literature', Neurology India, 卷 54, 編號 1, 頁 86-88.
Hsieh, C. T. ; Pai, C. C. ; Tsai, T. H. ; Chiang, Y. H. ; Su, Y. H. / Hepatic cerebrospinal fluid pseudocyst : A case report and review of the literature. 於: Neurology India. 2006 ; 卷 54, 編號 1. 頁 86-88.
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N2 - 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.

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