Peritoneal CSF pseudocyst

Case contributed by Dr Michael P Hartung

Presentation

Abdominal distension.

Patient Data

Age: 15 years
Gender: Male
CT

A large cyst fills the majority of the peritoneal cavity, displacing solid organs and bowel. A smaller cyst is along the inferior liver margin. 

Two sets of VP shunt tubing are present: one follows a looped course along the liver dome, and the second terminates in the large peritoneal pseudocyst.

Case Discussion

Peritoneal CSF pseudocysts are a rare complication of VP shunts, and are comprised of a fibrous, non-epithelialized wall. Treatment involves surgical/percutaneous drainage or excision. Patients can present with abdominal symptoms related to mass effect/compression, infection, or shunt malfunction.  

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Case information

rID: 70459
Published: 20th Aug 2019
Last edited: 20th Aug 2019
Inclusion in quiz mode: Included
Institution: Tenwek Hospital

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