Challenges in the management of cerebrospinal fluid ascites: a case report

Cerebrospinal fluid (CSF) ascites is an uncommon sequela of ventriculo-peritoneal (V-P) shunt. We report a case of CSF ascites in a 7-year-old girl with craniopharyngioma and the challenges and limitations we faced in her management. Ascites completely resolved after a ventriculo-atrial (V-A) shunt surgery. Abdominal paracentesis, diuretics, and ventriculo-pleural shunt were not effective in the management of the CSF ascites.