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Recurrent Breast Cerebrospinal Fluid Pseudocyst

A Complication of Ventriculoperitoneal Shunt Placement

Zawadiuk, Luke R. R. BMus; Van Slyke, Aaron C. MD, MSc; Macadam, Sheina A. MD, MSc, FRCSC

doi: 10.1097/SAP.0000000000001769
Review Paper

Ventriculoperitoneal (VP) shunt complications involving the breast are rare, with the majority involving the formation of a cerebrospinal fluid pseudocyst. We present the case of a 22-year-old woman with recurrent cerebrospinal fluid pseudocyst secondary to fracture of a VP shunt at the time of breast surgery for breast asymmetry. We review the literature on this topic and present our case that highlights the need of the breast surgeon to take into account the position of VP shunts placed at birth. Shunts placed on the chest wall may result in breast asymmetry requiring surgery in the adolescent. Shunts in place since birth may be at greater risk of fracture during breast implant placement due to manipulation of a calcified and fragile shunt leading to formation of a cerebrospinal fluid pseudocyst.

From the Division of Plastic Surgery, Department of Surgery, University of British Columbia, Vancouver, British Columbia, Canada.

Received June 1, 2018, and accepted for publication, after revision October 23, 2018.

Portions of this work were presented at the 23rd annual W.B. & M.H. Chung Research Day; Vancouver, British Columbia Canada; October 16, 2017.

Conflicts of interest and sources of funding: None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this article. The authors declare no conflict of interest.

Reprints: Luke R. R. Zawadiuk, BMus, Division of Plastic Surgery, Burn and Trauma Unit, University of British Columbia and Vancouver General Hospital, 2nd Floor, JPP 899 West 12th Avenue, Vancouver, BC, Canada V5Z 1 M9. E-mail:

Online date: March 18, 2019

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