title: A ventriculoperitoneal shunt catheter wrapped around a right mammary prosthesis forming a pseudocyst.
abstract: Breast cerebrospinal fluid pseudocysts are a rare complication of ventriculoperitoneal (VP) shunting. It is very unusual for the peritoneal catheter of a shunt to become wrapped around a prosthesis a previously augmented breast. Three previously reported patients developed an enlarging breast lump and were diagnosed with shunt migration around the prosthesis. Our patient underwent bilateral breast augmentation and subsequently a VP shunt. We observed on frequent follow-up chest X-rays performed for pneumonia and mechanical ventilation that the peritoneal catheter had gradually wrapped around her prosthesis. She developed a progressively enlarging breast lump which resolved with drainage of the cerebrospinal fluid collection and revision of the VP shunt.
authors.affiliation: Department of Neurosurgery, China Medical University Hospital, 2 Yu-Der Road, Taichung 404, Taiwan, China.
authors.forename: Y-T
authors.initials: YT
authors.lastname: Chu
authors.forename: H-C
authors.initials: HC
authors.lastname: Chuang
authors.forename: H-C
authors.initials: HC
authors.lastname: Lee
authors.forename: D-Y
authors.initials: DY
authors.lastname: Cho
mesh_terms: D018427:Breast Implants / Q000009:adverse effects*; D002404:Catheterization / Q000009:adverse effects*; D003560:Cysts / Q000209:etiology*; D005260:Female; D005548:Foreign-Body Migration / Q000503:physiopathology; D006801:Humans; D008875:Middle Aged; D020521:Stroke / Q000601:surgery; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*