Ventriculoperitoneal (VP) shunt is considered as the mainstay treatment of hydrocephalus, it remains as one of the most failure prone surgical interventions worldwide. Abdominal pseudocyst (APC) is one of the rare complications of VP shunt and is more prevalent in paediatric population. In this case, the patient is an 11-year-old male with history of tubercular meningitis with hydrocephalus for which VP shunt was done and the patient developed a giant abdominal pseudocyst which is the 3rd largest pseudocyst reported till date in a paediatric patient known best to our knowledge. This case is particularly unique due to rapid development of such a large pseudocyst in a span as short as 6 weeks. In this article, the causes of formation of APC and the treatment protocol to manage the patient with abdominal pseudocyst secondary to VP shunt are also discussed.

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