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Unexpected outcome (positive or negative) including adverse drug reactions
A child with suprasellar mass and ascites
  1. S Das1,
  2. A Bhansali1,
  3. V Upreti1,
  4. P Dutta1,
  5. S K Gupta2,
  6. R Ananthraman1,
  7. R Walia1
  1. 1Department of Endocrinology, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  2. 2Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to A Bhansali, anilbhansali_endocrine{at}rediffmail.com

Summary

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.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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