Intra-abdominal cystic lesions after ventriculoperitoneal shunting

Authors : Elif BAŞARAN GÜNDOĞDU, Esra OZCAKİR

Pages : 49-56

Doi:10.18621/eurj.1084900

View : 10 | Download : 6

Publication Date : 2023-01-04

Article Type : Research Paper

Abstract :Objectives: Definitive diagnosis is essential for the medical and surgical management of pediatric patients with ventriculoperitoneal insert ignore into journalissuearticles values(VP); shunt. In patients with a VP shunt, abdominal complications have been well described, among which abdominal pseudo cysts are uncommon. In this report, we present our experience in terms of the multi-disciplinary management of intra-abdominal cystic lesions associated with the VP shunt procedure.  Methods: From 2016 to 2021, 245 VP shunt procedures were performed in our institution. Intra-abdominal cystic lesions were recorded as intra-abdominal complications insert ignore into journalissuearticles values(abdominal pseudocyst, intestinal subserosal bowel cyst, and scrotal cyst); in 3 patients. For these patients we retrospectively collected data on medical history, complaints, diagnosis, treatment procedure, and postoperative results. The study was performed on 2 male and 1 female patients. The average patient age was 11.6 months insert ignore into journalissuearticles values(5 months to 1.5 years);. The most common complaint was that of abdominal distention with ileus symptoms. The average time of admission after the catheterization of VP shunt was 1 month; laparotomy was performed for 2 patients in whom treatment was needed for high ligation.  Results: A VP shunt operation is followed by abdominal complications in about 5%-47% of all cases. These complications are manifested as ileus symptoms, such as vomiting, abdominal distension, and abdominal pain with intestinal obstruction.  Conclusions: In pediatric patients with VP shunts, a shunt catheter-induced abdominal cystic formation should always be considered a complication. Management of these cystic lesions requires the use of a multi-disciplinary approach with neurosurgery and pediatric surgery for treatment.
Keywords : Intra abdominal cyst, ventriculoperitoneal shunt, hydrocephalus