Delayed cerebrospinal fluid ascites following ventriculoperitoneal shunt

Background: Cerebrospinal fluid (CSF) ascites is an abnormal accumulation of CSF within the peritoneal cavity caused by peritoneum's inability to absorb CSF, following a ventriculoperitoneal (VP) shunt surgery. Excessive production (e.g, choroid plexus papilloma and villous hypertrophy), high protein secondary chronic infection (e.g. tuberculosis), brain tumours optic gliomas craniopharyngiomas) have all been suggested as contributing factors formation ascites. Peritoneal inflammation result several revisions or some non-specific inflammatory reaction material has also explored.
 Case Presentation: A 3-year-old girl with lumbar myelomeningocele delayed VP reported. Therapeutic paracentesis was employed relieve abdominal distension, although recurring common. The removed instead Ventriculo-atrial shunt, she underwent Endoscopic Third Ventriculostomy (ETV). gradually disappeared after ETV over two-week period.
 Conclusions: Abdominal conversion Ventriculoperitoneal are commonly used treat ascites, however Ventriculostomy, where feasible, another alternative treatment that can be performed this condition.