Sonoelastography may be superior to other US modalities in elucidating different cervical lymph node biopsy helping to distinguish benign from malignant lesions. This may replace the lymph node biopsies in the future. Moreover, its use in the follow-up of patients with cervical malignancies may reduce the number of future biopsies. Further studies with more patients may be needed for a better assessment of results.

Pseudocyst is a rare complication of ventriculoperitoneal shunt (VPS) seen in 1–4% of pediatric age group and it’s usually managed by surgical excision. We report a new case of cerebrospinal fluid pseudocyst complicating VPS that was managed by percutaneous aspiration resulting in a successful outcome. A 2-year-old male presented with fever, abdominal pain, diarrhea, and vomiting. Abdomen examination showed palpable tender epigastric mass. Ultrasound examination and CT scan of the abdomen demonstrated localized epigastric fluid collection. He was managed with IV antibiotics, shunt externalization, and percutaneous aspiration of the pseudocyst. On follow-up examination, no similar symptoms were recorded. Percutaneous aspiration is a more conservative and effective approach in managing VPS pseudocyst in the new era of interventional radiology. Although the occurrence of abdominal pseudocyst is rare, a high index of suspicion should be maintained to avoid the risk of ascending infection.

Highlights Congenital diaphragmatic hernia is a rare cause of neonatal bowel obstruction. Congenital diaphragmatic hernia is associated with many long-term complications involving multiple systems. Only few cases in the literature has reported a strangulated congenital diaphragmatic hernia and even a fewer ones required bowel resection. Short bowel syndrome is an unlikely outcome of strangulated congenital diaphragmatic hernia, requiring feeding by total parenteral nutrition.

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