Hepatic cerebrospinal fluid (CSF) pseudocyst
Is a rare but important complication in patients with a ventriculoperitoneal shunt insertion.
Once the diagnosis is verified and if the cerebrospinal fluid CSF is sterile, just simply remove the peritoneal catheter and reposition a new one in the abdomen.
In case of CSF infection, the VP shunt can be removed and/or an external derivation can be made, and after treatment with antibiotics, a new VP shunt is placed in the opposite side of the peritoneum 1).
1)
Dabdoub CB, Fontoura EA, Santos EA, Romero PC, Diniz CA. Hepatic cerebrospinal
fluid pseudocyst: A rare complication of ventriculoperitoneal shunt. Surg Neurol
Int. 2013 Dec 27;4:162. doi: 10.4103/2152-7806.123783. eCollection 2013. PubMed
PMID: 24523999.