Metachronous Intraabdominal and Liver Metastasis in a Treated Case of Suprasellar Germinoma Due to Ventriculoperitoneal Shunt

A rare, treated case of suprasellar Germinoma with a ventriculoperitoneal shunt in-situ with metachronous presentation of extensive intraabdominal and hepatic metastasis successfully treated with combination chemotherapy. We report a case of a 14-year-old boy, previously treated for suprasellar Germinoma with a ventriculoperitoneal shunt in-situ, who subsequently presented 3 years later with acute severe abdominal pain and anuria. He developed extensive extraneural metastasis, intraabdominal and liver metastasis, acute renal failure and hyperuricemia. The patient was successfully treated with chemotherapy and continues to be disease free after 35 months. Despite its rare occurrence, we emphasize a low threshold for abdominal imaging to be an included investigation at follow up visits of such patients to ensure timely detection.