Abdominal CSF pseudocyst in a pateint with ventriculo-peritoneal shunt

• Published in: Indian journal of surgery Vol. 66; no. 6; p. 360
• Main Authors: Sharma, Alok, Pandey, Ajay, Diyora, Batuk, Mamidanna, Ravikrishna, Sayal, Parag, Ingale, Harshal
• Format: Journal Article
• Language: English
• Published: New Delhi Medknow Publications and Media Pvt. Ltd 01-11-2004; Springer Nature B.V
• Subjects: Causes of; Cerebrospinal fluid shunts; Complications and side effects; Cysts; Development and progression; Hydrocephalus; Physiological aspects
• ISSN: 0019-5650; 0972-2068; 0973-9793

Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication of ventriculo-peritoneal shunts. We report a case of a large lesser sac CSF pseudocyst in a 63-year-old male operated for fibroblastic meningioma of the cerebello-pontine angle ten years earlier. During the initial surgery a ventriculo-peritoneal catheter was inserted for associated hydrocephalus. He presented with epigastric pain and swelling since 4 weeks. A CT scan of the abdomen revealed a large cystic mass in the lesser sac with thin enhancing walls. An exploratory laparotomy was performed and the cyst drained externally with revision of the shunt. The patient had a rapid and uneventful recovery. We report this uncommon occurrence with a brief review of the literature.