Abstract

Boris Adéyèmi*, Roméo Yehouenou Tessi, Onka Behyamet, Nazik Allali, Latifa Chat and Siham El Haddad

ABSTRACT

Peritoneal pseudocyst is a rare chronic complication of the distal end of the venticuloperitoneal bypass (DVP) drain occurring in children under 5 years of age, usually in the first six months after insertion of the bypass system. The clinical symptomatology is made of abdominal distension associated with digestive signs by mechanical compression, or abdominal pain in case of cystic infection. Abdominal ultrasound supplemented by a CT scan without and with injection confirms the diagnosis of a well-limited and homogeneous fluid cystic mass in contact with the distal end of the lead. The management of aseptic cases relies on reinsertion of the DVP catheter at a different site, while temporary external drainage with antibiotic coverage followed by reinsertion of the catheter is recommended in cases of infected peritoneal pseudocyst.