PMC3908696_01
The CT topogram shows that the distal part of VP shunt is lying in the right-upper-quadrant superimposed on the hepatic silhouette
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F1
The ultrasonographical and abdominal computed tomography (CT) evaluation of the abdomen showed a cystic lesion in the hepatic segment V measuring 81 x 74 x 62 mm, with the shunt catheter placed inside [Figures 1 and 2].
(a) Abdominal CT scans with oral contrast demonstrates an intrahepatic fluid collection (asterisk) measuring 8.1 x 7.4 cm in the right hepatic lobe. (b) The VP shunt catheter tip is seen inside the pseudocyst (arrow)
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F2
The ultrasonographical and abdominal computed tomography (CT) evaluation of the abdomen showed a cystic lesion in the hepatic segment V measuring 81 x 74 x 62 mm, with the shunt catheter placed inside [Figures 1 and 2].
(a) Preoperative and (b) follow-up abdominal CT scan at 19 days after VP shunt removal. Axial abdominal CT scan shows the complete resolution of the hepatic CSF pseudocyst
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F3
A follow-up brain CT scan revealed no enlargement of the ventricular size, and a CT of the abdomen showed a regression of the cystic form [Figures 3] with a marked decrease in abdominal symptoms within 3 days and normalization of the abdominal condition within 10 days after the removal of the VP shunt.