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A child with suprasellar mass and ascites

S Das1, A Bhansali, V Upreti

  • 1Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

BMJ Case Reports
|July 14, 2012
PubMed

Insights

A child with craniopharyngioma developed shunt ascites, a rare complication of cerebrospinal fluid diversion. Ventriculo-atrial shunting successfully resolved the ascites, improving the patient's condition.

Area of Science:

  • Pediatric Neurosurgery
  • Oncology
  • Gastroenterology

Background:

  • Craniopharyngioma is a common pediatric brain tumor.
  • Ventriculo-peritoneal (V-P) shunting is a standard procedure for hydrocephalus management.

Observation:

  • A 7-year-old child with craniopharyngioma developed progressive ascites and umbilical hernia one year after V-P shunting and tumor resection.
  • Ascitic fluid analysis revealed a transudative nature, and imaging confirmed a patent V-P shunt.

Findings:

  • The patient was diagnosed with cerebrospinal fluid ascites (shunt ascites).
  • Ventriculo-atrial shunting was performed to manage the complication.

Implications:

  • This case highlights shunt ascites as a potential complication of V-P shunting in pediatric neurosurgery.
  • Ventriculo-atrial shunting can be an effective treatment for cerebrospinal fluid ascites.
  • Early recognition and appropriate management are crucial for favorable outcomes in pediatric patients with craniopharyngioma and hydrocephalus.

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