An unusual case of recurrent pneumonia

Corns, Robert; Rakowski, Krzysztof R M; Critchley, Giles

doi:10.1136/bcr.10.2010.3380

Cited by 2 publications

(3 citation statements)

References 19 publications

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“…The symptoms are usually acute or chronic respiratory symptoms; however, patients can rarely present with shunt dysfunction [ 4 ] but can also present with pneumonia. Corns et al presented the case of a 50-year-old male with recurrent pneumonia; he had a shunt insertion in 1944, and a CT scan showed the distal end of the shunt within the right-sided bronchus [ 8 ]. Other respiratory complications also include pneumothorax, bronchial fistula, hydrothorax, and empyema [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

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A Rare Case of Extraction of Ventriculoperitoneal Shunt From the Left Main Bronchus

Amien,

Harky,

Hill

et al. 2023

Cureus

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We present the case of a 40-year-old female who underwent several insertions of ventriculoperitoneal (VP) shunts as a part of the treatment for idiopathic intracranial hypertension (IIH). Several years after the insertion of the last VP shunt, the patient started experiencing shortness of breath (SOB) and cough; after further assessment, it was noted on computed tomography (CT) scan that the VP shunt had migrated into the right lower lobe of the lung and perforated the distal left main bronchus. The shunt was successfully retrieved using bronchoscopy under general anesthesia, after which the patient had a complete resolution of symptoms. Shunt migration is one of the rare complications that can happen years after shunt insertion. Therefore, we present this rare case of shunt migration into the thorax cavity to highlight the presentation of this complication and its successful management.

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Section: Discussionmentioning

confidence: 99%

“…Corns et al presented the case of a 50-year-old male with recurrent pneumonia; he had a shunt insertion in 1944, and a CT scan showed the distal end of the shunt within the right-sided bronchus [ 8 ]. Other respiratory complications also include pneumothorax, bronchial fistula, hydrothorax, and empyema [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

A Rare Case of Extraction of Ventriculoperitoneal Shunt From the Left Main Bronchus

Amien,

Harky,

Hill

et al. 2023

Cureus

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“…Nuclear imaging demonstrated radioactive tracer material in the right hemithorax, trachea, mainstem bronchi, stomach, and bowel, suggesting that the CSF was entering the pulmonary system, being coughed up, and then swallowed into the gastrointestinal tract. Recurrent pneumonia has been reported as a complication of VP shunting, in which the shunt may erode through the diaphragm into the lungs 7 , 15 , 16 , 34 …”

Section: Discussion Resume Herementioning

confidence: 99%

Shunt-Bronchial Fistula with Coughing Up and Swallowing of Cerebrospinal Fluid: Rare Complication of Ventriculopleural Shunt

Katsevman

Harron

Bhatia

2020

World Neurosurgery: X

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BackgroundErosion of the distal catheter into lung parenchyma is an extremely rare complication of ventriculopleural shunt placement.Case DescriptionWe report a 51-year-old woman with a history of parasagittal meningioma invading the sagittal sinus who presented with recurrent pneumonia after placement of a ventriculopleural shunt. A nuclear study revealed accumulation of radiotracer material sequentially in the right hemithorax, trachea, mainstem bronchi, stomach, and bowel. The ventriculopleural shunt had eroded into the patient's lung parenchyma, with the effect of cerebrospinal fluid draining into the respiratory system and then being coughed up and swallowed into the gastrointestinal system.ConclusionSurgeons should be aware of the potential complication of a ventriculopleural shunt eroding through the lung parenchyma to cause a shunt-bronchial fistula with persistent coughing and recurrent pneumonias. Shuntogram nuclear imaging may be useful in the diagnosis of the complication.

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An unusual case of recurrent pneumonia

Cited by 2 publications

References 19 publications

A Rare Case of Extraction of Ventriculoperitoneal Shunt From the Left Main Bronchus

A Rare Case of Extraction of Ventriculoperitoneal Shunt From the Left Main Bronchus

Shunt-Bronchial Fistula with Coughing Up and Swallowing of Cerebrospinal Fluid: Rare Complication of Ventriculopleural Shunt

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