Division of Emergency Medicine, NorthShore University Health System, Evanston, IL, United States of America; University of Chicago Pritzker School of Medicine, Chicago, IL, United States of America.
Department of Emergency Medicine, Cook County Health and Hospitals System, Chicago, IL, United States of America.
Am J Emerg Med. 2021 Nov;49:437.e1-437.e3. doi: 10.1016/j.ajem.2021.04.041. Epub 2021 Apr 17.
A 51-year-old female with prior history of ventriculoperitoneal shunt presented with worsening abdominal distension. Her abdomen was diffusely tender and firm with a slight fluid wave. CT imaging with IV contrast was notable for a large cystic lesion in the abdominal cavity with the differential of CSF pseudocyst versus ovarian mass. She underwent paracentesis of the cyst with interventional radiology and required a revision of her ventriculoperitoneal shunt. CSF pseudocysts are a rare complication of ventriculoperitoneal shunts, however, are an important consideration in patients presenting with abdominal complaints and require specialized intervention and assessment.
一位 51 岁女性，既往有脑室-腹腔分流术病史，现出现腹部进行性膨隆。腹部广泛压痛，质地坚硬，有轻微液波震颤。静脉注射造影 CT 成像显示，腹腔内有一个大的囊性病变，鉴别诊断包括脑脊液假性囊肿和卵巢肿块。她在介入放射科进行了囊肿穿刺，并需要对脑室-腹腔分流术进行修正。脑脊液假性囊肿是脑室-腹腔分流术的一种罕见并发症，但在出现腹部不适的患者中需要考虑这一并发症，并需要进行专门的干预和评估。
