Hepatic Liquoric Cyst as a Complication of Ventriculoperitoneal Shunt Insertion: A Case Report

Background The ventriculoperitoneal shunt (VPS) procedure is still the most used technique for management of hydrocephalus. This article reports a case of hepatic cerebrospinal fluid (CSF) pseudocyst as a rare, but important, complication of the VPS insertion. Case Description An 18-year-...

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Autores principales: Lívio Pereira de Macêdo, Arlindo Ugulino Netto, Kauê Franke, Pierre Vansant Oliveira Eugenio, Lucas Ribeiro de Moraes Freitas, Davi Coutinho Marcelino Guerra Leone, Diego Pereira de Melo Oliveira, Eduardo Vieira de Carvalho Júnior, Igor Vilela Faquini, Nivaldo S. Almeida, Hildo Rocha Cirne Azevedo-Filho
Formato: article
Lenguaje:EN
Publicado: Thieme Revinter Publicações Ltda. 2021
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Acceso en línea:https://doaj.org/article/59b9fe7db9424105bf9b906ca1ae4008
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Sumario:Background The ventriculoperitoneal shunt (VPS) procedure is still the most used technique for management of hydrocephalus. This article reports a case of hepatic cerebrospinal fluid (CSF) pseudocyst as a rare, but important, complication of the VPS insertion. Case Description An 18-year-old male presented to the hospital complaining of temporal headache and visual turbidity for approximately 3 months with a history of VPS insertion for treatment of hydrocephalus and revision of the valve in adolescence. The diagnosis was based on abdominal imaging, demonstrating an extra-axial hepatic CSF pseudocyst free from infection. Following the diagnosis, the management of the case consisted in the removal and repositioning of the catheter on the opposite site of the peritoneum. Conclusion The hepatic CSF pseudocyst is an infrequent complication of VPS procedure, but it needs to be considered when performing the first evaluation of the patient. Several techniques are considered efficient for the management of this condition, the choice must be made based on the variables of each individual case.