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Abdominal Cerebrospinal Fluid Pseudocyst Diagnosed with Point-of-care Ultrasound.


ABSTRACT: Abdominal pseudocysts are rare complications of ventriculoperitoneal (VP) shunts characterized by accumulations of cerebrospinal fluid surrounded by fibrous layers in the intra-abdominal cavity or abdominal wall. We present a woman with bilateral VP shunts who presented with right-sided abdominal distension, pain, and tenderness and who was found to have an abdominal pseudocyst on point-of-care ultrasound and computed tomography. Given the potential to develop a secondary infection or VP shunt malfunction, it is important for emergency providers to consider intra-abdominal complications of VP shunts, including rare ones such as abdominal pseudocysts, in these patients who present with vague abdominal complaints.

SUBMITTER: Guest BJ 

PROVIDER: S-EPMC6366374 | biostudies-literature | 2019 Feb

REPOSITORIES: biostudies-literature

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Abdominal Cerebrospinal Fluid Pseudocyst Diagnosed with Point-of-care Ultrasound.

Guest Brittany J BJ   Merjanian Michael H MH   Chiu Emily F EF   Canders Caleb P CP  

Clinical practice and cases in emergency medicine 20190107 1


Abdominal pseudocysts are rare complications of ventriculoperitoneal (VP) shunts characterized by accumulations of cerebrospinal fluid surrounded by fibrous layers in the intra-abdominal cavity or abdominal wall. We present a woman with bilateral VP shunts who presented with right-sided abdominal distension, pain, and tenderness and who was found to have an abdominal pseudocyst on point-of-care ultrasound and computed tomography. Given the potential to develop a secondary infection or VP shunt m  ...[more]

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