[Acute abdominal pain due to a ventriculo-peritoneal shunt metastasis of an intracranial germ cell tumor].
BACKGROUND
Extracranial metastases of pineal germinomas are rare.


METHODS
The case of a metastasis of a primary intracranial germ cell tumor via a temporary-ventriculo-peritoneal shunt as a cause of acute abdominal pain is reported. The germ cell tumor markers were useful in establishing the diagnosis.


CONCLUSIONS
With an appropriate clinical history, intra-abdominal metastases via a temporary ventriculo-peritoneal shunt should be considered in the differential diagnosis of acute abdominal pain.
Schrödter
S
S
Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden, Fetscherstrasse 74, 01307 Dresden. Steffen.Schroedter@uniklinikum-dresden.de
Hakenberg
O
O
Oehlschläger
S
S
Fröhner
M
M
Kittner
T
T
Wirth
M
M
D000006:Abdomen, Acute / Q000209:etiology*; D000328:Adult; D003085:Colic / Q000209:etiology*; D003937:Diagnosis, Differential; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery*; D006869:Hydronephrosis / Q000175:diagnosis / Q000209:etiology; D007674:Kidney Diseases / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D009366:Neoplasm Seeding; D010386:Pelvic Neoplasms / Q000175:diagnosis / Q000556:secondary*; D010871:Pinealoma / Q000175:diagnosis* / Q000556:secondary*; D012086:Reoperation; D014517:Ureteral Obstruction / Q000175:diagnosis / Q000209:etiology; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation*