Abstract:
RATIONALE:Ventriculoperitoneal shunt (VPS) is the most common treatment for idiopathic normal pressure hydrocephalus, a subtype of hydrocephalus characterized by gait disturbance, dementia, and urinary incontinence. However, while the malfunction of VPS is reported at a high rate, the involvement of chronic cholecystitis in shunt malfunction is rare. PATIENT CONCERNS:A 73-year-old woman with idiopathic normal pressure hydrocephalus who received a VPS but subsequently developed chronic cholecystitis. The patient suffered from drowsiness and was unable to walk. Her family found that she presented with poor appetite and was bloated. DIAGNOSES:Chronic cholecystitis was confirmed through abdominal computed tomography, which showed a swollen, and enlarged gallbladder, and flatulence. A head computed tomography scan indicated hydrocephalus with enlarged ventricular system and paraventricular edema. INTERVENTIONS:Laparoscopic cholecystectomy was performed successfully, requiring no further shunt manipulation. OUTCOMES:The patient's memory and cognitive ability were slightly impaired without a positive sign in the abdomen. No catheter or abdominal infection signs were observed during the following 3 months of follow-up. CONCLUSION:To the best of our knowledge, this report is the first to reveal that shunt malfunction may result from chronic cholecystitis, which induced the presently observed intra-abdominal hypertension.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Yu Q,Lou C,Feng T,Liu Ydoi
10.1097/MD.0000000000020565subject
Has Abstractpub_date
2020-06-19 00:00:00pages
e20565issue
25eissn
0025-7974issn
1536-5964pii
00005792-202006190-00028journal_volume
99pub_type
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