increasing sommulenceAP radiograph of the skull shows a discontinuity between the tip of the VP shunt and the rest of the VP shunt. Axial, coronal, and sagittal CT without contrast of the brain shows marked hydrocephalus with transependymal flow of cerebrospinal fluid.The diagnosis was VP shunt malfunction due to shunt discontinuity.
with 2 weeks of abdominal distensionAP and lateral radiographs of the abdomen show the VP shunt to be coiled upon itself and there is a suggestion of a retrogastric mass on the lateral view. Transverse US of the left upper quadrant of the abdomen shows a large cystic structure with the VP shunt tip within it.The diagnosis was VP shunt malfunction due to CSFoma.
with a new palpable prominence over the region of the VP shunt in the neckAP and lateral radiographs of the skull and an AP radiograph of the abdomen shows a discontinuity between the reservoir of the VP shunt in the neck and the remainder of the VP shunt in the abdomen.The diagnosis was VP shunt malfunction due to shunt discontinuity.