Work

Abdominal wall CSF pseudocyst following ventriculoperitoneal shunt displacement: a case report and literature review

Year: 2025

Type: article

Abstract: Background. Abdominal cerebrospinal fluid pseudocysts (CSFomas) are an uncommon but significant complication of ventriculoperitoneal (VP) shunt placement for hydrocephalus. Although the procedure is effective, complications such as shunt migration, obstruction, and infection can occur. CSFomas affect fewer than 5% of patients and present with progressive abdominal discomfort, predominantly in children but also in adults. Case report. We present a 33-year-old woman who developed a minimally complex, potentially infected extra-peritoneal abdominal wall CSFoma secondary to VP shunt migration following treatment for hydrocephalus due to recurrent brain infections. Diagnosis was confirmed using computed tomography (CT) and ultrasonography (USG). Management. The patient was treated with cyst drainage, VP shunt revision, and intravenous antibiotics (ceftriaxone and cefuroxime). She showed complete recovery without recurrence at six-month follow-up. Conclusion. Early diagnosis and management of pseudocyst formation following VP shunt placement are essential to prevent further complications, reduce patient discomfort, and improve long-term outcomes.

Source: Romanian Journal of Medical Practice

DOI: 10.37897/rjmp.2025.3.7

Authors: Praveen K. Sharma, Michael Antony Vikram, Harish Subramanian Latha, Seetha Rashi, Paarthipan Natarajan

Institution: Saveetha University

Language: English

Topic: Cerebrospinal fluid and hydrocephalus

Subfield: Cellular and Molecular Neuroscience

Field: Neuroscience

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $216