title: [Acute abdominal pain due to a ventriculo-peritoneal shunt metastasis of an intracranial germ cell tumor].
abstract: 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.
authors.affiliation: Klinik und Poliklinik für Urologie, Universitätsklinikum Carl Gustav Carus der Technischen Universität Dresden, Fetscherstrasse 74, 01307 Dresden. Steffen.Schroedter@uniklinikum-dresden.de
authors.forename: S
authors.initials: S
authors.lastname: Schrödter
authors.forename: O
authors.initials: O
authors.lastname: Hakenberg
authors.forename: S
authors.initials: S
authors.lastname: Oehlschläger
authors.forename: M
authors.initials: M
authors.lastname: Fröhner
authors.forename: T
authors.initials: T
authors.lastname: Kittner
authors.forename: M
authors.initials: M
authors.lastname: Wirth
mesh_terms: 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*