case_images: PMC11799714_01
case_images: Non-contrast abdominal computed tomography scan showing an intraperitoneal cyst in the (a) axial, (b) coronal, and (c) sagittal views, with the distal shunt tip located at the base of the cyst (white arrow).
case_images: SNI-16-19-g001.jpg
case_images: PMC11799714_01_SNI-16-19-g001.jpg
case_images: F1
case_images: A week prior, she had undergone an abdominal computed tomography (CT) scan, which revealed a cystic lesion measuring approximately 23.9 x 18.6 x 28.9 cm, with solid components along the edges and minimal septations, extending from the pelvic cavity to the abdominal cavity [Figure 1a-c].
case_images: Non-contrast head computed tomography (CT) scans before and after shunt revision. (a and b) Pre-revision CT scans show the proximal shunt tip within the third ventricle in the (a) axial and (b) coronal views. (c) Post-revision CT scan shows the shunt catheter correctly positioned in the frontal horn of the right lateral ventricle.
case_images: SNI-16-19-g002.jpg
case_images: PMC11799714_01_SNI-16-19-g002.jpg
case_images: F2
case_images: A head CT scan revealed acute hydrocephalus, with the proximal tip of the shunt located in the third ventricle [Figure 2a and b]. The patient was monitored in the hospital for 5 days, and a follow-up CT scan confirmed proper positioning of the proximal shunt tip in the anterior horn of the right lateral ventricle [Figure 2c], allowing for safe discharge.
case_images: Patient examination during remote follow-up 6 months later. (a and b) Views of the patient's abdomen from (a) the front and (b) the side. (c) Abdominal X-ray in the anteroposterior view.
case_images: SNI-16-19-g003.jpg
case_images: PMC11799714_01_SNI-16-19-g003.jpg
case_images: F3
case_images: Clinically, the patient's abdomen appeared concave, with no visible or palpable mass on physical examination [Figure 3a and b]. An abdominal X-ray performed at a nearby healthcare facility revealed no signs of an intra-abdominal mass [Figure 3c].