title: Non-traumatic pseudocyst of Glisson capsule complicating a ventriculoperitoneal shunt.
abstract: 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.
authors.affiliation: Department of Neurosurgery, CHU d'Amiens, place Victor-Pauchet, Amiens cedex 1, France. peltier.johann@chu-amiens.fr
authors.forename: J
authors.initials: J
authors.lastname: Peltier
authors.forename: F
authors.initials: F
authors.lastname: Demuynck
authors.forename: A
authors.initials: A
authors.lastname: Fichten
authors.forename: M
authors.initials: M
authors.lastname: Lefranc
authors.forename: P
authors.initials: P
authors.lastname: Toussaint
authors.forename: C
authors.initials: C
authors.lastname: Desenclos
authors.forename: B
authors.initials: B
authors.lastname: Nicot
authors.forename: A-S
authors.initials: AS
authors.lastname: Pruvot
authors.forename: D
authors.initials: D
authors.lastname: Le Gars
mesh_terms: 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