Fetal ovarian cyst mimicking a CSF pseudocyst in the setting of shunt failure

Abstract

<jats:p>Fetal ovarian cysts are common congenital lesions encountered in the neonatal population. These cysts are typically benign and rarely require any invasive intervention. Abdominal pseudocyst formation as a result of a ventriculoperitoneal shunt is a relatively infrequent occurrence and is similarly an uncommon cause of shunt failure. The authors present the case of a 4-month-old girl with shunted hydrocephalus who presented with shunt failure from a suspected abdominal pseudocyst that was found to be a fetal ovarian cyst.</jats:p>

Huge abdominal cerebrospinal fluid pseudocyst following ventriculoperitoneal shunt: a case report

“…Abdominal CSF pseudocyst is a relatively rare VP shunt complication, but should be considered in all patients with abdominal symptoms or intracranial hypertension signs. Differential diagnoses of an abdominal cystic mass include: benign cystic teratoma; full-term pregnancy; mesenteric abscess; cystic lymphangioma; seroma; lymphocele; pancreatic pseudocyst; and mesenteric, duplication, and ovarian cysts [4, 5]. Although the etiology of a CSF pseudocyst is not well known, the incidence is reported to range from less than 0.33 to 6.8% [6].…”