HISTORY IMAGING FINDINGS - Case 72 Pseudocyst around.pdfVIP

下载本文档

6
0
约1.76万字
约 5页
2017-04-13 发布于江苏
举报
版权申诉

HISTORY IMAGING FINDINGS - Case 72 Pseudocyst around.pdf

1、有哪些信誉好的足球投注网站（book118）网站文档一经付费（服务费），不意味着购买了该文档的版权，仅供个人/单位学习、研究之用，不得用于商业用途，未经授权，严禁复制、发行、汇编、翻译或者网络传播等，侵权必究。。
2、本站所有内容均由合作方或网友上传，本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺！文档内容仅供研究参考，付费前请自行鉴别。如您付费，意味着您自己接受本站规则且自行承担风险，本站不退款、不进行额外附加服务；查看《如何避免下载的几个坑》。如果您已付费下载过本站文档，您可以点击这里二次下载。
3、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等，请点击“版权申诉”（推荐），也可以打举报电话：400-050-0827(电话支持时间：9:00-18:30)。
4、该文档为VIP文档，如果想要下载，成为VIP会员后，下载免费。
5、成为VIP后，下载本文档将扣除1次下载权益。下载后，不支持退款、换文档。如有疑问请联系我们。
6、成为VIP后，您将拥有八大权益，权益包括：VIP文档下载权益、阅读免打扰、文档格式转换、高级专利检索、专属身份标志、高级客服、多端互通、版权登记。
7、VIP文档为合作方或网友上传，每下载1次，网站将根据用户上传文档的质量评分、类型等，对文档贡献者给予高额补贴、流量扶持。如果你也想贡献VIP文档。上传文档

HISTORY IMAGING FINDINGS - Case 72 Pseudocyst around

Juan Carlos Pernas, MD Jordi Catala, MD Case 72: Pseudocyst around Ventriculoperitoneal Shunt1 HISTORY A 32-year-old man presented with abdominal pain, distention, and bloating. His white blood cell count and amylase serum levels were normal. No history of malignancy or pancreatic disease was known to exist. A ventriculoperitoneal shunt had been placed 15 years earlier to treat hydrocephalus secondary to spina bifida. The patient underwent supine abdominal radiography and unenhanced abdominal computed tomography (CT). IMAGING FINDINGS The abdominal supine radiograph (Fig 1) showed mild disten- tion of small-bowel loops in the left upper quadrant. Unenhanced abdominal CT scans showed a mesenteric, thin-walled well-defined cystic mass (Fig 2) around the ven- triculoperitoneal shunt tip. The cystic mass was indepen- dent from the pancreas and encased a small-bowel loop, which was represented by small gas bubbles. Proximal di- lated small-bowel loops could be seen, but there was no colonic obstruction. A diagnosis of peritoneal pseudocyst around ventriculoperi- toneal shunt causing small-bowel obstruction was suspected. Percutaneous drainage was performed (Fig 3), and 300 mL of clear fluid was drained. The immediate postdrainage scan showed that the size of the cystic mass decreased markedly, and the small-bowel ob- struction was relieved in a few hours (Fig 4). The findings at fluid analysis were consistent with cerebro- spinal fluid, with negative cultures and absence of microbian flora. No further procedures were needed to relieve abdominal obstruction. The patient was referred to another hospital for elective surgery, where he underwent shunt replacement and pseudocyst resection. Part 1 of this case appeared 4 months previously and may contain larger images. Index terms: Cerebrospinal fluid, 167.458, 74.3123, 791.458 Diagnosis Please Shunts, ventriculoperitoneal, 167.458, 74.458, 791.458 Published online 10.1148/radiol.2321011976 Radiology 2004; 232:239–243 1 From t