J Korean Neurosurg Soc.  2011 Oct;50(4):385-387. 10.3340/jkns.2011.50.4.385.

Malignant Ascites after Subduroperitoneal Shunt in a Patient with Leptomeningeal Metastasis

Affiliations
  • 1Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. jilee@skku.edu

Abstract

Leptomeningeal metastasis is a devastating complication of advanced stage cancer. It is frequently accompanied by hydrocephalus and intracranial hypertension that must be treated by ventriculoperitoneal shunts. However, there are actual risks of peritoneal seeding or accumulation of malignant ascites after the cerebrospinal fluid diversion procedure, though it has not been reported. Here, we present the case of a patient with non-small cell lung cancer with leptomeningeal metastasis in whom malignant ascites developed after a subduroperitoneal shunt.

Keyword

Leptomeningeal metastasis; Malignant ascites; Ventriculoperitoneal shunt

MeSH Terms

Ascites
Carcinoma, Non-Small-Cell Lung
Humans
Hydrocephalus
Intracranial Hypertension
Neoplasm Metastasis
Seeds
Ventriculoperitoneal Shunt
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