Abstract • A 4-year-old girl developed a recurrent abdominal pseudocyst from a ventriculoperitoneal shunt. There was no infection of the peritoneum or CSF. Diagnosis of this unusual abdominal mass was made roentgenographically by direct injection of soluble contrast material under antiseptic conditions into the shunt tubing. Ultrasonography was confirmatory. Management included excision of the cyst and removal of the shunt catheter from the peritoneal cavity. (Am J Dis Child 132:285-286, 1978) References 1. Ferguson AH: Intraperitoneal diversion of the cerebrospinal fluid in cases of hydrocephalus . NY Med J 67:902-909, 1898. 2. Grosfeld JL, Cooney DR, Smith J, et al: Intra-abdominal complications following ventriculoperitoneal shunt procedures . Pediatrics 54:791-796, 1974. 3. Davidson RI: Peritoneal bypass in the treatment of hydrocephalus: Historical review and abdominal complications . J Neurol Neurosurg Psychiatry 39:640-646, 1976.Crossref 4. Davidson RI, Lingley JF: Intraperitoneal pseudocyst: Treatment by aspiration . Surg Neurol 4:33-36, 1975. 5. Fischer EG, Shillito J: Large abdominal cysts: A complication of peritoneal shunts . J Neurosurg 31:441-444, 1969.Crossref 6. Gutierrez FA, Raimondi AJ: Peritoneal cysts: A complication of ventriculoperitoneal shunts . Surgery 79:188-192, 1976. 7. Parry SW, Schumacher JF, Llewellyn RC: Abdominal pseudocysts and ascites formation after ventriculoperitoneal shunt procedures . J Neurosurg 43:476-480, 1975.Crossref 8. Evans RC, Thomas MD, Williams LA: The use of the valvogram for the detection of shunt blockage in hydrocephalic children . Dev Med Child Neurol 35:94-98, 1975. 9. Bearman S, Sanders RC, Oh KS: B-Scan ultrasound in the evaluation of pediatric abdominal masses . Radiology 108:111-117, 1972.
American Journal of Diseases of Children – American Medical Association
Published: Mar 1, 1978