Abdominal Cerebrospinal Fluid Pseudocyst Diagnosed by Point-of-Care Ultrasound

Ivan, Yaron; Hauptman, Jason S.; Marin, Jennifer R.

doi:10.1097/pec.0000000000000826

Cited by 6 publications

(4 citation statements)

References 7 publications

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“…POCUS is a fast, non-invasive, and radiation-free imaging modality that can be used to diagnose abdominal pseudocysts at the bedside 17,18. On ultrasound, abdominal pseudocysts appear as anechoic (black) fluid collections with well-defined, hyperechoic (bright) margins 11,19.…”

Section: Discussionmentioning

confidence: 99%

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

Guest

Merjanian

Chiu

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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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.

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Section: Discussionmentioning

confidence: 99%

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

Guest

Merjanian

Chiu

et al. 2019

Clinical Practice and Cases in Emergency Medicine

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“…), lack of mobility of the distal tip of the catheter on routine x-rays, and is confirmed with abdominal ultrasound (US) (Figure 1). The latter study is safe and rapid and should be performed immediately as symptoms of shunt malfunction are already present [1,4,6,7,20,23].…”

Section: Patients With a Vps-related Abdominal Pseudocystmentioning

confidence: 99%

Abdominal Complications in Patients with a Ventriculoperitoneal Shunt

Marquez Basilotta,

Argañaraz,

Mantese

2023

Frontiers in Hydrocephalus

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Hydrocephalus is a complex disease. The placement of a ventriculoperitoneal shunt is a treatment that has been in use since the 1960s. Although in recent years, the development of the endoscopic technique has gained importance in the treatment of hydrocephalus, the use of valves continues to be used. Valves can be associated with different complications. In this chapter, we develop the abdominal complications associated with these devices. Both in patients with abdominal pseudocysts and with intestinal infections or ascites, they should be studied with brain tomography, x-rays of the valvular system, and ultrasound. The first step of treatment in these patients is to define if the valve works correctly or not. The second topic to take into account is the presence of infection associated with the catheter, which is detected by taking a sample of cerebrospinal fluid. The treatment of these valve-associated complications in many cases requires an approach involving multiple specialists, general practitioners, infectious diseases specialists, and general surgeons, among others. In patients with ventriculoperitoneal shunt-related abdominal complications, surgical treatment depends on symptom severity and the possible associated infection at the time of diagnosis.

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“…Cerebrospinal fluid pseudocyst formation is a rare complication after ventriculoperitoneal shunt placement for hydrocephalus (1% to 5%). [1][2][3] Patients can present with various symptoms associated with the pseudocyst (abdominal pain and distention), infection (fever and raised C-reactive protein levels), and/or increased intracranial pressure (headache and vomiting). 2,3 Although contrast-enhanced abdominal CT-scan is the gold standard for assessing pseudocysts, 2 point-of-care ultrasound can be a valuable tool in the emergency department to expedite diagnosis.…”

Section: Diagnosismentioning

confidence: 99%

“…2,3 Although contrast-enhanced abdominal CT-scan is the gold standard for assessing pseudocysts, 2 point-of-care ultrasound can be a valuable tool in the emergency department to expedite diagnosis. 1,4…”

Section: Diagnosismentioning

confidence: 99%