Laparoscopic repositioning of a ventriculo-peritoneal catheter tip for a sterile abdominal cerebrospinal fluid (CSF) pseudocyst.
Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon but well-described complication that is reported to occur in <1% of ventriculo-peritoneal (VP) shunts. Management options for pseudocysts include various types of shunt revisions, which recently have been conducted laparoscopically. We report the case of an 11-year-old girl in whom a sterile abdominal CSF pseudocyst was successfully fenestrated and the VP catheter repositioned using laparoscopy. This technique in the setting of a noninfected pseudocyst has proven to be safe, with results comparable to the conventional open technique. However, the long-term success rate is still unknown.
Oh
A
A
Department of Surgery, Flushing Hospital Medical Center, 45th Avenue at Parsons, Flushing, NY 11355, USA. jeremy_oh@hotmail.com
Wildbrett
P
P
Golub
R
R
Yu
L M
LM
Goodrich
J
J
Lee
T
T
D000005:Abdomen; D002648:Child; D003560:Cysts / Q000150:complications* / Q000382:microbiology; D004927:Escherichia coli Infections / Q000150:complications / Q000628:therapy; D005260:Female; D017219:Gastric Outlet Obstruction / Q000209:etiology* / Q000382:microbiology; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects* / Q000295:instrumentation