Intra-abdominal metastasis of an intracranial germinoma via ventriculo-peritoneal shunt in a 13-year-old female.

@article{Murray2011IntraabdominalMO,
  title={Intra-abdominal metastasis of an intracranial germinoma via ventriculo-peritoneal shunt in a 13-year-old female.},
  author={Matthew J Murray and Lucy E. M{\'e}tayer and Conor Mallucci and Juliet P. Hale and James Christopher Nicholson and Ramez Wadie Kirollos and G. A. A. Burke},
  journal={British journal of neurosurgery},
  year={2011},
  volume={25 6},
  pages={747-9}
}
A 13-year-old patient presented with massive intra-abdominal metastasis and spontaneous acute tumour lysis syndrome, 17-months after VP shunt placement for metastatic pineal germinoma treated with cranio-spinal-irradiation. Hyperhydration/rasburicase improved renal function, allowing chemotherapy with subsequent surgery. The patient remains event-free 34-months later. Risk of intra-abdominal metastasis from VP shunts is discussed. 
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