Guest Brittany J, Merjanian Michael H, Chiu Emily F, Canders Caleb P
David Geffen School of Medicine at University of California, Los Angeles, Department of Emergency Medicine, Los Angeles, California.
Clin Pract Cases Emerg Med. 2019 Jan 7;3(1):43-46. doi: 10.5811/cpcem.2018.11.40780. eCollection 2019 Feb.
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.
腹腔假性囊肿是脑室腹腔（VP）分流术罕见的并发症，其特征是腹腔或腹壁内纤维层包裹的脑脊液积聚。我们报告一名患有双侧VP分流术的女性，她出现右侧腹胀、疼痛和压痛，床旁超声和计算机断层扫描发现有腹腔假性囊肿。鉴于有发生继发感染或VP分流术故障的可能性，对于出现腹部不适症状的这些患者，急诊医护人员考虑VP分流术的腹腔内并发症，包括像腹腔假性囊肿这样的罕见并发症很重要。
