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Cerebrospinal fluid liver pseudocyst:A bizarre long-term complication of ventriculoperitoneal shunt:A case report

world Journal of Hepatology 2023年第5期15卷 715-724页

作者： Muhammad Nadeem Yousaf Haider A Naqvi Shriya Kane Fizah S Chaudhary Jason Hawksworth Vikram V Nayar thomas w faust Division of Gastroenterology and Hepatology Department of MedicineUniversity of MissouriColumbiaMO 65212United States Department of Medicine MedStar Union Memorial HospitalBaltimoreMD 21218United States Department of Surgery University Iowa School of MedicineIowa CityIA 52242United States Department of Medicine University of MissouriColumbiaMO 65212United States Department of Surgery Transplant HepatologyMedStar Georgetown University HospitalWashingtonDC 20007United States Department of Neurosurgery MedStar Georgetown University HospitalWashingtonDC 20007United States Department of Medicine Transplant HepatologyJames D.Eason Transplant InstituteMethodist Le Bonheur HealthcareMemphisTN 38104United States

BACKGROUND Ventriculoperitoneal(VP)shunt placement has become a standard of care procedure in managing hydrocephalus for drainage and absorption of cerebrospinal fluid(CSF)into the *** pseudocysts containing CSF are the common long-term complication of this frequently performed procedure,mainly because VP shunts have significantly prolonged *** these,liver CSF pseudocysts are rare entities that may cause shunt dysfunction,affect normal organ function,and therefore pose therapeutic *** SUMMARY A 49-year-old man with history of congenital hydrocephalus status post bilateral VP shunt placement presented with progressively worsening dyspnea on exertion,abdominal discomfort/*** computed tomography(CT)scan revealed a large CSF pseudocyst in the right hepatic lobe with the tip of VP shunt catheter into the hepatic cyst *** underwent robotic laparoscopic cyst fenestration with a partial hepatectomy,and repositioning of VP shunt catheter to the right lower quadrant of the ***-up CT demonstrated a significant reduction in hepatic CSF *** A high index of clinical suspicion is required for early detection of liver CSF pseudocysts since their presentation is often asymptomatic and cunning early in the ***-stage liver CSF pseudocysts could have adverse outcomes on the treatment course of hydrocephalus as well as on hepatobiliary *** is paucity of data to define the management of liver CSF pseudocyst in current guidelines due to rare nature of this *** reported occurrences have been managed by laparotomy with debridement,paracentesis,radiological imaging guided fluid aspiration and laparoscopic-associated cyst *** surgery is an additional minimally invasive option in the management of hepatic CSF pseudocyst;however,its use is limited by lack of widespread availability and cost of surgery.

关键词： shunt fluid peritoneal

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Successful aspiration and ethanol sclerosis of a large,symptomatic, simple liver cyst:Case presentation and review of the literature

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world Journal of Gastroenterology 2006年第18期12卷 2949-2954页

作者： wojciech C Blonski Mical S Campbell thomas faust David C Metz Division of Gastroenterology University of PennsylvaniaPhiladelphiaPAUnited States and Department of Gastroenterology and HepatologyWroclaw Medical UniversityPoland Division of Gastroenterology University of PennsylvaniaPhiladelphiaPAUnited States

简单的肝包囊与 2.5%-4.25% 的流行是先天的。成像，是否由美国， CT 或 MRI，在把简单包囊与另外的病原学区分开来是精确的，包括寄生，肿瘤，管相关，并且创伤性囊肿。征兆的简单的肝包囊是稀罕的，并且症状的真频率不被知道。征兆的... 详细信息

简单的肝包囊与 2.5%-4.25% 的流行是先天的。成像，是否由美国， CT 或 MRI，在把简单包囊与另外的病原学区分开来是精确的，包括寄生，肿瘤，管相关，并且创伤性囊肿。征兆的简单的肝包囊是稀罕的，并且症状的真频率不被知道。征兆的简单的肝包囊主要大(> 4 厘米) ，在女人右边、更普通、更老的病人。绝大多数简单肝的包囊不要求治疗或后续，尽管大包囊(> 4 厘米) 可以开始与连续成像被跟随保证稳定性。到大简单包囊的症状的归属应该小心地被承担，在选择诊断以后被排除了。渴望可以被执行测试症状是否由于包囊；然而，包囊复发应该被期望。有 laparoscopic deroofing 和渴望的有限经验，由一个致硬化的代理人的灌输列在后面为征兆的包囊的治疗表明了有希望的结果。这里，我们与大、征兆的、简单的肝包囊描述一个病人经历了症状的完全的分辨率后面的包囊排水和白酒脱离，和我们在场文学的全面评论。

关键词：乙醇肝囊肿治疗临床

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