Abstract
Patient is a 14-year-old male with a PMH of myelomeningocele, congenital hydrocephalus, and neurogenic bladder. Patient is s/p VP shunt placement in 2008, with revision in 2011. He presented to the ED for worsening abdominal pain and distension, presumed to be due to fecal impaction. He was admitted for management of constipation. Patient began to deteriorate on day 3 and was no longer producing urine. A CT Abdomen/Pelvis revealed a 23x15x19cm CSFoma, also known as an abdominal pseudocyst. An ultrasound-guided percutaneous abscess drainage produced 700 cc of clear pink/yellow fluid, followed by complete resolution of his symptoms.
