Lassoed liver: hepatic pseudo-fissure caused by ventriculoperitoneal shunt.
A 2-year-old child with a ventriculoperitoneal shunt and a shunt revision 18 months previously developed a shunt infection. A CT scan of the abdomen was performed soon after the shunt catheter was removed. A peculiar invagination in the liver was demonstrated along the same course of a recently removed intraperitoneal catheter, presumably caused by the catheter. There have been no reported cases of deformity and pseudo-fissure of the liver, which may mimic pathologic processes on ultrasound or CT, caused by a ventriculoperitoneal shunt.
Chan
Ronald S
RS
676 North St. Clair, Suite 800, Chicago, IL 60611, USA. chanr01@hotmail.com
Poznanski
Andrew
A
D002408:Catheters, Indwelling / Q000009:adverse effects; D002675:Child, Preschool; D020878:Device Removal; D003937:Diagnosis, Differential; D016983:Enterococcus; D005260:Female; D016908:Gram-Positive Bacterial Infections; D006801:Humans; D008099:Liver / Q000000981:diagnostic imaging / Q000382:microbiology / Q000473:pathology*; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology*; D016459:Prosthesis-Related Infections / Q000175:diagnosis / Q000209:etiology; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects* / Q000295:instrumentation