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Abdominal cerebrospinal fluid pseudocyst.

Ramon Pathi¹, Michael Sage, John Slavotinek

¹Division of Medical Imaging, Flinders Medical Centre, Bedford Park, Adelaide, South Australia, Australia. Dr_ramon@hotmail.com

Australasian Radiology

|March 19, 2004

Summary

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Abdominal cerebrospinal fluid (CSF) pseudocysts are a rare complication of ventriculoperitoneal shunts, occurring in about 3.2% of cases. These pseudocysts can be sterile or infected, and imaging like ultrasound and CT reveals characteristic findings.

Area of Science:

Neurosurgery
Radiology
Gastroenterology

Background:

Ventriculoperitoneal (VP) shunts are commonly used to treat hydrocephalus.
Abdominal cerebrospinal fluid (CSF) pseudocysts are a known, albeit rare, complication of VP shunts.

Observation:

This report details a case of abdominal CSF pseudocyst in a patient with a VP shunt.
The incidence of abdominal CSF pseudocyst formation in VP shunt patients is approximately 3.2%.
Precipitating factors include recent inflammation, infection, or surgery.

Findings:

Larger pseudocysts are typically sterile, while smaller ones are more frequently infected.
Characteristic findings are observed on both ultrasound and computed tomography (CT) imaging.

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Implications:

Understanding the incidence and characteristics of CSF pseudocysts is crucial for managing VP shunt complications.
Radiological imaging plays a key role in diagnosing these pseudocysts.
Prompt recognition and management are essential for patient outcomes.