A child with suprasellar mass and ascites.
A 7-year-old child having short stature presented with headache and vomiting of 6 months' duration. MRI of the brain showed a sellar and suprasellar mass suggestive of craniopharyngioma with hydrocephalus. He underwent a right ventriculo-peritoneal (V-P) shunting followed by a subtotal resection of the tumour. A year later, he presented with progressive ascites and umbilical hernia. Systemic examination was unremarkable except for massive ascites. Ultrasound abdomen confirmed free-fluid in the peritoneal cavity and the ascitic fluid was transudative. Ventriculo-cysternography revealed a functional and patent V-P shunt. A diagnosis of cerebrospinal fluid ascites (shunt ascites) was made and he underwent ventriculo-atrial shunting. After treatment the patient improved with the gradual disappearance of ascites.
Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
S
S
Das
A
A
Bhansali
V
V
Upreti
P
P
Dutta
S K
SK
Gupta
R
R
Ananthraman
R
R
Walia
D001201:Ascites / Q000209:etiology* / Q000601:surgery; D014695:Cerebral Ventriculography; D002555:Cerebrospinal Fluid; D002648:Child; D003397:Craniopharyngioma / Q000175:diagnosis* / Q000601:surgery*; D003399:Craniotomy; D006325:Heart Atria / Q000601:surgery; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis* / Q000601:surgery*; D008279:Magnetic Resonance Imaging; D008297:Male; D010911:Pituitary Neoplasms / Q000175:diagnosis* / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology*; D012086:Reoperation; D014057:Tomography, X-Ray Computed; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*