Publication Name	World Journal of Hepatology
Manuscript ID	113157
Country	Singapore

Category	Gastroenterology & Hepatology
Manuscript Type	Case Report
Article Title	Cerebrospinal fluid pseudocyst presenting as ascites: A case report
Manuscript Source	Unsolicited Manuscript
All Author List	Sabrina Xin Zi Quek, Keith Wei Jie Ching, Kamarjit Mangat, How Cheng Low and Stephanie Qianwen Ko
Funding Agency and Grant Number
Corresponding Author	Sabrina Xin Zi Quek, Department of Medicine, Division of Gastroenterology and Hepatology, National University Hospital, 5 Lower Kent Ridge Road, Singapore 119074, Singapore. sabrinaquek@gmail.com
Key Words	Cerebrospinal fluid pseudocyst; Beta-2 transferrin; Ventriculoperitoneal shunt; Ascites; Case report
Core Tip	Recurrent perihepatic “ascites” in a patient with spina bifida resisted exhaustive hepatic, cardiac, and surgical evaluation. The eventual diagnosis—a cerebrospinal fluid pseudocyst from a 27-year-old ventriculoperitoneal shunt—was made possible by renewed clinical suspicion and targeted beta-2 transferrin testing, despite the shunt being invisible on imaging. This case highlights the need to keep rare diagnoses in mind when standard workups fail, and the role of selective, specific tests in solving complex diagnostic puzzles.
Citation	Quek SXZ, Ching KWJ, Mangat K, Low HC, Ko SQ. Cerebrospinal fluid pseudocyst presenting as ascites: A case report. World J Hepatol 2025; In press

Received	2025-08-18 08:04
Peer-Review Started	2025-08-18 08:04
To Make the First Decision
Return for Revision	2025-08-25 07:08
Revised	2025-09-03 14:15
Second Decision	2025-11-25 02:38
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-11-26 06:09
Articles in Press	2025-11-26 06:09
Publication Fee Transferred	2025-09-05 01:40
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	1948-5182 (online)
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