{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:54:15Z","timestamp":1771476855043,"version":"3.50.1"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2023,9,7]],"date-time":"2023-09-07T00:00:00Z","timestamp":1694044800000},"content-version":"vor","delay-in-days":6,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:sec><jats:title>Key Clinical Message<\/jats:title><jats:p>Abdominal pseudocyst is a rare complication of ventriculoperitoneal (VP) shunt placement. Ventriculopleural shunt (VPL) can be an effective treatment option for the recurrent complications of VP shunt failure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Abstract<\/jats:title><jats:p>Abdominal pseudocyst (APC) is a rare complication of ventriculoperitoneal (VP) shunt placement for the treatment of congenital hydrocephalus. This case report presents a two\u2010and\u2010a\u2010half\u2010year\u2010old male child who underwent VP shunt placement for aqueductal stenosis\u2010related hydrocephalus. The patient subsequently developed recurrent shunt failure and an APC, which was managed initially by surgical excision of the cyst and repositioning of the catheter. However, shunt failure recurred. The patient underwent ventriculopleural (VPL) shunt conversion as a more viable option for recurrent blockage. Postoperatively, the patient developed respiratory distress with massive pleural effusion, which was treated with chest tube insertion. This case highlights the complexity of managing congenital hydrocephalus and its rare complication, APC. Prompt recognition and appropriate management of APC can lead to improved outcomes and minimize the need for invasive procedures. VPL shunt conversion can be considered an alternative treatment option when other treatments have failed. Further research is needed to establish guidelines for the management of APC and determine the long\u2010term effectiveness of VPL shunting.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ccr3.7902","type":"journal-article","created":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T00:00:14Z","timestamp":1694131214000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Abdominal pseudocyst complicating ventriculoperitoneal shunt: A rare indication for ventriculopleural shunt conversion"],"prefix":"10.1002","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-0919-212X","authenticated-orcid":false,"given":"Nishan","family":"Shrestha","sequence":"first","affiliation":[{"name":"Intern doctor Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naveen","family":"Gautam","sequence":"additional","affiliation":[{"name":"Intern doctor Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Merina","family":"Shrestha","sequence":"additional","affiliation":[{"name":"Paediatrics Tribhuvan University Teaching Hospital  Kathmandu Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,9,7]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-021-05157-0"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1159\/000501018"},{"issue":"1","key":"e_1_2_11_4_1","first-page":"23","article-title":"Early outcome of ventriculoperitoneal (VP) shunt in terms of improvement and complications","volume":"26","author":"Khan M","year":"2022","journal-title":"PJNS"},{"key":"e_1_2_11_5_1","unstructured":"Ventriculoperitoneal (VP).Shunt Complications: Diagnosis& Treatment.2023.https:\/\/www.ebmedicine.net\/topics\/neurologic\/pediatric\u2010ventriculoperitoneal\u2010shunt"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/ANA.0000000000000628"},{"issue":"7","key":"e_1_2_11_7_1","article-title":"Abdominal cerebrospinal fluid Pseudocyst as a complication of ventriculoperitoneal shunt placement","volume":"12","author":"Achufusi TGO","year":"2020","journal-title":"Cureus"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2482-13-27"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.4103\/2152-7806.206007"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1673.2007.01909.x"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.25259\/AJIR_32_2019"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318289705e"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.4103\/1793-5482.145539"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.fjs.2015.03.002"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-023-05928-x"},{"key":"e_1_2_11_16_1","unstructured":"CiureaAV NicaDA CordosI et al.VENTRICULO\u2010Pleural Shunt\u2010an Alternative Treatment for Obstructive Hydrocephalus."},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/rcr2.660"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.4103\/1817-1737.65048"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.21129\/nerve.2018.4.2.111"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.3171\/2017.5.PEDS1779"},{"key":"e_1_2_11_21_1","first-page":"1","volume-title":"Case Studies in Clinical Psychological Science: Bridging the Gap from Science to Practice","author":"Moore BA","year":"2016"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.21129\/nerve.2019.5.2.90"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.2214\/AJR.12.10270"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.4103\/0971-9261.24638"},{"key":"e_1_2_11_25_1","unstructured":"YuhS\u2010J VassilyadiM.Management of Abdominal Pseudocyst in Shunt\u2010Dependent Hydrocephalus.https:\/\/surgicalneurologyint.com\/surgicalint\u2010articles\/management\u2010of\u2010abdominal\u2010pseudocyst\u2010in\u2010shunt\u2010dependent\u2010hydrocephalus\/#ref19"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.7902","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,1]],"date-time":"2025-08-01T05:56:29Z","timestamp":1754027789000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.7902"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9]]},"references-count":24,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2023,9]]}},"alternative-id":["10.1002\/ccr3.7902"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.7902","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,9]]},"assertion":[{"value":"2023-07-11","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-08-28","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-09-07","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e7902"}}