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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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Year : 2007  |  Volume : 12  |  Issue : 4  |  Page : 214-217

Abdominal cerebrospinal fluid pseudocysts in patients with ventriculoperitoneal shunts: 30 years of experience*

Department of Pediatric Surgery, University of Innsbruck, 6020, Austria

Correspondence Address:
M Sanal
Department of Pediatric Surgery, University of Innsbruck, Anichstr. 35 - 3N, Innsbruck - 6020
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0971-9261.40838

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Aim: We evaluated the treatment outcome of the patients having cerebrospinal fluid pseudocyst following ventriculo-peritoneal shunt. Materials and Methods: During the period of 1975 to 2005, 392 hydrocephalic patients underwent ventriculo-peritoneal shunt, of these eight developed abdominal cerebrospinal fluid pseudocyst. The medical records regarding the etiology of hydrocephalus, age of shunting, infectious screening, therapy and follow up were evaluated. Results: Cerebrospinal fluid analysis was normal in all except in 4 patients who showed high level of C-reactive protein. One patient had significant abdominal symptoms as pain, vomiting and diarrhea. All were treated by cyst excision, exteriorization of shunt and antibiotic treatment. A new shunt was placed once cerebrospinal fluid cultures were negative. Conclusions: cyst excision, appropriate antibiotic therapy followed by new shunt placement once cerebrospinal fluid cultures are negative constitutes the required treatment for these patients with abdominal pseudocyst.


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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

Online since 1st May '05