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CSF pseudocyst: an unusual cause of abdominal distension in a child

Shivani Pahwa1, Poonam Sherwani, Rama Anand

  • 1Assistant Professor, Department of Radiodiagnosis, Lady Hardinge Medical College, New Delhi, India.

Tropical Doctor
|January 11, 2014
PubMed

Insights

Abdominal cerebrospinal fluid (CSF) pseudocysts are a rare complication following ventriculoperitoneal (VP) shunt surgery. This case highlights the presentation, imaging, and management of this uncommon condition in a pediatric patient.

Area of Science:

  • Neuroscience
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Ventriculoperitoneal (VP) shunts are commonly used to treat hydrocephalus, particularly in pediatric neurosurgery.
  • Tubercular meningitis can necessitate VP shunt placement for cerebrospinal fluid (CSF) management.
  • Abdominal CSF pseudocysts are an infrequent but recognized complication of VP shunts.

Observation:

  • A 4-year-old child, who previously underwent VP shunt placement for tubercular meningitis, presented with symptoms suggestive of a complication.
  • Imaging studies revealed a significant abdominal cerebrospinal fluid pseudocyst.
  • The clinical course and diagnostic findings were characteristic of this rare entity.

Findings:

  • The case illustrates the typical clinical presentation of an abdominal CSF pseudocyst in a pediatric patient.
  • Classic imaging findings on diagnostic modalities confirmed the diagnosis.
  • Successful management strategies for this complication were employed.

Implications:

  • Understanding the presentation and imaging characteristics of abdominal CSF pseudocysts is crucial for timely diagnosis.
  • This case underscores the importance of vigilant monitoring for shunt complications in pediatric patients.
  • Effective management protocols can lead to favorable outcomes for children experiencing this rare complication.

Keywords:
Tubercular meningitisVP shunt complicationspseudocyst

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