Recurrent abdominal CSF pseudocysts: a rare complication of Ventriculo-peritoneal shunt

A rare case of multiple episodes of encysted abdominal CSF collections in a fourteen year old girl, is being reported.The patient had undergone ventriculoperitoneal [VP] shunt placement at eleven months age for congenital obstructive hydrocephalus, and after a free disease interval of about 13 years, developed recurrent abdominal CSF pseudocysts.The condition required six USG guided aspirations, exteriorization of shunt and a revision in the side of VP shunt placement.In spite of all these, the abdominal complaints persisted, along with recurrent symptoms of shunt malfunction and seizures.So ultimately a ventriculopleural shunt was placed.Phenytoin sodium and Levipil were prescribed for seizure control, and she went in for phenytoin toxicity as well.In spite of all these issues the candidate is reasonably good academically, and is on regular follow up.