Presentation
Lower abdominal pain
Patient Data
Age: 60 years
Gender: Female
From the case:
CSF pseudocyst
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Chest X-ray shows a break in the VP shunt.
From the case:
CSF pseudocyst
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CT scan images show a lobulated CSF pseudocyst with an adjacent break in the VP shunt.
Case Discussion
A CSF pseudocyst is a complication of leakage from the VP shunt, which can develop at any point in the track of the VP shunt from the intracranial portion to the intra-abdominal peritoneal cavity. In this case, it is found in the chest wall (breast tissue) with a break in the VP shunt and a large lobulated CSF pseudocyst.
It can present with symptoms or be asymptomatic; in this case, it is an incidental finding.
The patient came with the lower abdominal wall for UTI and incidentally found a cyst in breast tissue with an adjacent broken VP shunt.