The timeline for the presented case.
| Date | Relevant Past Medical History and Interventions | ||
|---|---|---|---|
| He had a 4-year history of spontaneous intracerebral hemorrhage at the left basal ganglion with ventricular extension and underwent VP shunt surgery with medium pressure reservoir implantation (Medtronic, USA) because of posthemorrhagic hydrocephalus | |||
| Date | Summaries from Initial and Follow-up Visits | Diagnostic Testing (including dates) | Interventions |
| 2020/5/11 | • A progressive bulging mass around the previous surgical site at the right upper quadrant of the abdomen 2 weeks before admission | • Laboratory examination showed white blood cell count of 5570/µL and a C-reactive protein level of 0.34 mg/µL. (2020/5/11) | • Distal externalization of the VP shunt (2020/5/12) • Laparoscopic unroofing of the cystic lesion (2020/5/14) |
| • Abdominal radiography showed a loop of the peritoneal tube around the right upper quadrant of the abdomen. (2020/5/11) | • The distal shunt was ligated at the right anterior chest region (2020/5/22) | ||
| • Computed tomography (CT) scan of the abdomen showed a large cystic lesion at the right extrahepatic region was also discovered, containing the peritoneal tube of the VP shunt. (2020/5/12) | • Flomoxef 1gm i.v. q8h (2020/5/12 to 2020/5/22) | ||
| • CSF culture: no bacterial growth (2020/5/12 to 2020/5/14) | |||
| 2020/5/23 | Discharge without symptoms of hydrocephalus or fever | ||
| 2020/7/28 | Alert and orientated. No recurrent symptoms. | ||