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Case Reports
. 2011;155(50):A4035.

[Cerebrospinal fluid ascites from a ventriculoperitoneal shunt]

[Article in Dutch]
W J Wilma Houtman-van Duinen  1 , Yvonne M Ende-Verhaar, Godard C W de Ruiter, Adelheid M E van der Torren-Conze
Affiliations
  • PMID: 22186366
Case Reports

[Cerebrospinal fluid ascites from a ventriculoperitoneal shunt]

[Article in Dutch]
W J Wilma Houtman-van Duinen et al. Ned Tijdschr Geneeskd. 2011.

Abstract

Background: In a patient with hydrocephalus, the placement of a ventriculoperitoneal shunt is the first treatment of choice. Cerebrospinal fluid ascites is a rare complication of a ventriculoperitoneal shunt, particularly a late complication which can arise more than two years after the implantation of the shunt.

Case description: We describe a 29-year-old woman who developed cerebrospinal fluid ascites 15 years after a ventriculoperitoneal shunt had been placed. She was referred due to abdominal pain. Ultrasound showed ascites and a CT scan showed free fluid in all of the abdominal compartments. The ascites disappeared after a ventriculoatrial shunt was placed.

Conclusion: This case demonstrates that cerebrospinal fluid ascites can occur as a late complication, years after the placement of a ventriculoperitoneal shunt.

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