Non-traumatic pseudocyst of Glisson capsule complicating a ventriculoperitoneal shunt.
BACKGROUND
Cerebrospinal fluid pseudocysts in the peritoneal cavity following ventriculoperitoneal shunt are relatively uncommon. In these complications, perforation of solid organs is unusual.


METHODS
A case of subcapsular hepatic pseudocyst is described. A 48-year-old man treated by ventriculoperitoneal shunt presented with abdominal pain. Laboratory examinations revealed hepatic cytolysis. The CT-scan of the abdomen demonstrated a small ovoid non-enhanced cystic collection in the subcapsular area of hepatic segment V. Percutaneous hepatic fine-needle aspiration of the cyst guided by abdominal ultrasonography showed no abnormal findings. Peritoneal reimplantation at a different site was performed. The clinicopathological features of this entity are described and treatments are discussed.


CONCLUSIONS
Reinsertion of the catheter at a different abdominal site is effective in non-infections cases. In contrast, a temporary external drainage with adequate antibiotic treatment followed by shunt reinsertion is necessary to treat a documented infection of CSF collections.
Peltier
J
J
Department of Neurosurgery, CHU d'Amiens, place Victor-Pauchet, Amiens cedex 1, France. peltier.johann@chu-amiens.fr
Demuynck
F
F
Fichten
A
A
Lefranc
M
M
Toussaint
P
P
Desenclos
C
C
Nicot
B
B
Pruvot
A-S
AS
Le Gars
D
D
D015746:Abdominal Pain / Q000209:etiology; D044963:Biopsy, Fine-Needle; D003560:Cysts / Q000134:cerebrospinal fluid / Q000150:complications / Q000473:pathology*; D006801:Humans; D006849:Hydrocephalus / Q000601:surgery; D008107:Liver Diseases / Q000134:cerebrospinal fluid / Q000150:complications / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt