The case report describes a 16-year-old female with a ventriculoperitoneal (VP) shunt due to congenital hydrocephalus. She presented with abdominal pain and vaginal leakage of cerebrospinal fluid (CSF). CT imaging demonstrated multiple intra-abdominal and pelvic CSF pseudocysts as well as possible erosion of the VP shunt into the vagina. https://www.roneverhart.com/DigiCo-SD11i-Control-Surface-MADI-Only-p6714/