Abdominal cerebrospinal fluid (CSF) pseudocyst presented with inferior vena caval obstruction and hydronephrosis.

Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery
Gilberto Ka Kit Leung

Abstract

Abdominal cerebrospinal fluid (CSF) pseudocyst is an uncommon complication of ventriculo-peritoneal shunt placement. A large pseudocyst may exert a significant pressure effect, but vascular or urological symptoms are extremely rare. We report an unusual case of a CSF pseudocyst causing inferior vena caval and ureteric obstruction. A 14-year-old girl had previously undergone ventriculo-peritoneal shunting for congenital hydrocephalus. She developed bilateral ankle edema as the only presenting symptom of a large non-infected cerebrospinal CSF pseudocyst. The associated abdominal distension was initially attributed to obesity, and the patient was unable to communicate due to developmental delay. Imaging studies showed that the pseudocyst was causing inferior vena caval obstruction and bilateral hydronephrosis. The ankle edema and hydronephrosis resolved after aspiration of the pseudocyst and shunt revision. Children who require CSF shunting may suffer from associated developmental delay and are frequently unable to communicate their symptomatic complaints. This case illustrated the importance of a heightened clinical suspicion in managing these patients in whom shunt failure may present with subtle and obscure signs of lower body ...Continue Reading

References

Apr 1, 1989·Urology·J H KellyL H Harrison
Jun 1, 1972·American Journal of Diseases of Children·M J SullivanL H Lackner
Mar 19, 2004·Australasian Radiology·Ramon PathiAhmad Hanieh
Oct 22, 2009·AJR. American Journal of Roentgenology·Jae-Joon ChungMyeong-Jin Kim

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Citations

Jan 29, 2014·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Carlos B DabdoubBianca M Orlandi
Nov 20, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Andrea SchererLaurie Ackerman
Feb 19, 2019·Clinical Practice and Cases in Emergency Medicine·Brittany J GuestCaleb P Canders

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