Symptomatic vaginal enterocele associated with malfunctioning ventriculoperitoneal shunt and cerebrospinal ascites

Abdominal pseudocyst formation is a rare adult complication associated with ventriculoperitoneal (VP) shunts. Presenting symptoms are primarily abdominal and include distention, pain and anorexia, and secondarily neurological with signs and symptoms of shunt malfunction. We describe a case of VP shu...

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Bibliographic Details
Published inInternational Urogynecology Journal Vol. 22; no. 9; pp. 1189 - 1191
Main Authors Karp, Deborah R., Rizvi, Tazeen Z., Davila, G. Willy
Format Journal Article
LanguageEnglish
Published London Springer-Verlag 01.09.2011
Springer Nature B.V
Subjects
Adult
Ascites - complications
Case Report
Device Removal
Female
Gynecology
Humans
Medicine
Medicine & Public Health
Rectocele - etiology
Urology
Ventriculoperitoneal Shunt - adverse effects
Shunt ascites
Myelomeningocele
Pelvic organ prolapse
Ventriculoperitoneal shunt
Pseudocyst
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Summary:Abdominal pseudocyst formation is a rare adult complication associated with ventriculoperitoneal (VP) shunts. Presenting symptoms are primarily abdominal and include distention, pain and anorexia, and secondarily neurological with signs and symptoms of shunt malfunction. We describe a case of VP shunt-related pseudocyst formation presenting as symptomatic pelvic organ prolapse with stage 4 enterocele 4 years after VP shunt placement. The patient's vaginal enterocele enlarged and became more symptomatic as intra-abdominal cyst formation expanded. Symptomatic relief of pelvic floor symptomatology including resolution of exteriorized prolapse was established by conservative measures and eventual VP shunt revision and removal. VP shunt malfunction may present as symptomatic pelvic organ prolapse and may require shunt removal or revision for resolution of symptoms.
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ISSN:0937-3462
1433-3023
DOI:10.1007/s00192-011-1420-5