Symptomatic vaginal enterocele associated with malfunctioning ventriculoperitoneal shunt and cerebrospinal ascites |
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Authors: | Deborah R Karp Tazeen Z Rizvi G Willy Davila |
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Institution: | (1) Section of Urogynecology/Reconstructive Pelvic Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL 33331, USA |
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Abstract: | 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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