Distensión abdominal en paciente con derivación ventriculoperitoneal
- Solís Díaz, katia
- Alonso Claudio, Gloria
- Benito García, Pilar
- Novo Veleiro, Ignacio
- Cuenca Castillo, José J. (coord.)
ISSN: 0304-4866, 1989-3922
Any de publicació: 2012
Volum: 73
Número: 3
Pàgines: 123-125
Tipus: Article
Altres publicacions en: Galicia Clínica
Objectius de Desenvolupament Sostenible
Resum
We report a case of a 27 year old male with a history of ventriculoperitoneal shunt in childhood consulting for abdominal distension and fever of three months�s duration without other associated symptoms. Diagnostic paracentesis is performed with data from exudate and abdominal ultrasound and CT abdomen showing a pseudocyst without evidence of infection. It was decided the surgical removal of the pseudocyst and the eposition of the catheter at the suprahepatic location, with disappearance of ascites. Later, he had system dysfunction because of obstruction, so the derivation was exchanged with good outcome. The pseudocyst is a rare but serious complication of ventriculoperitoneal shunt. May cause abdominal clinical, neurological or infectious. The diagnosis is mainly done by ultrasound and abdominal CT scan and the recommended treatment is surgical removal with resection of the capsule and the relocation of drainage