medigraphic.com
ISSN 1561-2945 (Print)

2015, Number 4

<< Back

Revista Cubana de Cirugía 2015; 54 (4)

Laparoscopic treatment abdominal pseudocyst in hydrocephalic patient

Leyva MT, Barreras GJE, Alonso FL, Quintana PI, Suarez LD, Barrios OIO

Language: Spanish
References: 13
Page: 370-376
PDF size: 130.56 Kb.


ABSTRACT

Abdominal complications of peritoneal shunts for hydrocephalus, are not uncommon. Abdominal pseudocysts are reported between 1-4.5 % and most patients need surgery. A male patient of 28 years old with a history of intraventricular hemorrhage and newborn secondary to hydrocephalus presents itself. Multiple infections and derivative system revisions, the last for 14 years. Symptoms 6 months of evolution characterized by uncontrollable crying spells associated with marked sweating, no fixed hours and several hours. Abdominal ultrasonography shows suprahepatic abdominal pseudocyst. Treated by laparoscopic technique with release of peritoneal catheter drainage of the cyst and repositioning of peritoneal catheter in another quadrant. The abdominal pseudocyst is a rare complication of ventricular-peritoneal shunts and should be suspected in patients with abdominal pain. Once diagnosed, the treatment of choice should be laparoscopy.


REFERENCES

  1. Raysi Dehcordi S, De Tommasi C, Ricci A, Marzi S, Ruscitti C, Amicucci G, et al. Laparoscopy-assisted ventriculoperitoneal shunt surgery: personal experience and review of the literature. Neurosurg Rev [Internet]. 2011 [cited 2015 may 12];34(3):363-71 pp. Available from: http://dx.doi.org/10.1007/s10143-011- 0309-6.

  2. Naftel RP, Argo JL, Shannon CN, Taylor TH, Tubbs RS, Clements RH, Harrigan MR. Laparoscopic versus open insertion of the peritoneal catheter in ventriculoperitoneal shunt placement: review of 810 consecutive cases. J Neurosurg. 2011 Jul;115(1):151-8. doi: 10.3171/2011.1.JNS101492. Epub 2011 Feb 11.

  3. Dabdoub C, Dabdoub C, Chavez M, Villarroel J, Ferrufino J, Coimbra A, et al. Abdominal cerebrospinal fluid pseudocyst: a comparative analysis between children and adults. Childs Nerv Syst [Internet]. 2014 [cited 2015 may 28];30(4):579-89 pp. Available from: http://dx.doi.org/10.1007/s00381-014-2370-2.

  4. Popa F, Grigorean VT, Onose G, Popescu M, Strambu V, Sandu AM. Laparoscopic treatment of abdominal complications following ventriculoperitoneal shunt. Journal of Medicine and Life [Internet]. 2009 [cited 2015 may 28]; 2(4):426-36 pp. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3019022/.

  5. Nfonsam V, Chand B, Rosenblatt S, Turner R, Luciano M. Laparoscopic management of distal ventriculoperitoneal shunt complications. Surg Endosc [Internet]. 2008 [cited 2015 mar 09]; 22(8):1866-70 pp. Available from: http://dx.doi.org/10.1007/s00464-007-9728-4.

  6. Kavic SM, Segan RD, Taylor MD, Roth J. Laparoscopic Management of Ventriculoperitoneal and Lumboperitoneal Shunt Complications. JSLS: Journal of the Society of Laparoendoscopic Surgeons [Internet]. 2007 Jan-Mar [cited 2015 feb 15];11(1):14-9 pp.

  7. Parelkar SV, Sanghvi BV, Samala DS, Paradkar BA, Patil SH, Oak SN. Two-port laparoscopic management of a giant pseudocyst complicating ventriculoperitoneal shunt. Journal of Indian Association of Pediatric Surgeons [Internet]. 2014 Jul-Sep [cited 2015 mar 15];19(3):181-3 pp. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4155640/.

  8. Sandesh V. Parelkar, Beejal V. Sanghvi, Devdas S. Samala, Bhupesh A. Paradkar, Shalil H. Patil, and Sanjay N. Oak: Two-port laparoscopic management of a giant pseudocyst complicating ventriculoperitoneal shunt. J Indian Assoc Pediatr Surg. 2014 Jul-Sep;19(3):181–83. doi: 10.4103/0971-9261.136483 PMCID: PMC4155640

  9. Esposito C, Colella G, Settimi A, Centonze A, Signorelli F, Ascione G, et al. Onetrocar laparoscopy. Surgical Endoscopy And Other Interventional Techniques [Internet]. 2003 [cited 2015 may 28];17(5):828-30 pp. Available from: http://dx.doi.org/10.1007/s00464-002-9063-8

  10. Tomiyama A, Harashina J-i, Kimura H, Ito K, Honda Y, Yanai H, et al. An Intra- Abdominal Pseudocyst around a Ventriculoperitoneal Shunt due to Streptococcus Infection 7 Years after Shunt Surgery. Surgery Research and Practice [Internet]. 2014 [cited 2015 mar 22]; 2014:898510. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4208502/ http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4208502/pdf/SRP2014-898510.pdf .

  11. Park YS, Park IS, Park KB, Lee CH, Hwang SH, Han JW. Laparotomy versus Laparoscopic Placement of Distal Catheter in Ventriculoperitoneal Shunt Procedure. Journal of Korean Neurosurgical Society [Internet]. 2010 [cited 2015 may 03];48(4):325-9. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2982910/

  12. Schucht P, Banz V, Trochsler M, Iff S, Krähenbühl AK, Reinert M, et al. Laparoscopically assisted ventriculoperitoneal shunt placement: a prospective randomized controlled trial. Journal of Neurosurgery [Internet]. 2015 [cited 2015 jul 20];122(5):1058-67. Available from: http://thejns.org/doi/abs/10.3171/2014.9.JNS132791

  13. Shao Y, Li M, Sun JL, Wang P, Li Xk, Zhang QL, et al. A Laparoscopic Approach to Ventriculoperitoneal Shunt Placement with a Novel Fixation Method for Distal Shunt Catheter in the Treatment of Hydrocephalus. Minim Invasive Neurosurg [Internet]. 2011 [cited 2015 feb 12]; 54(01):44-7. Available from: https:// www.thieme-connect.com/products/ejournals/html/10.1055/s-0031-1271680 https:// www.thieme-connect.com/products/ejournals/pdf/10.1055/s-0031- 1271680.pdf .




2020     |     www.medigraphic.com