Hydrothorax Due to Migration of Ventriculoperitoneal Shunt Catheter

Kim, Hongki; Seo, Euikyo; Cho, Yongjae; Kim, Sang-Jin

doi:10.3340/jkns.2008.43.3.159

Cited by 9 publications

(9 citation statements)

References 9 publications

(10 reference statements)

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“…The complications of ventriculoperitoneal shunt include obstruction of the hardware (15,3%), infection (8,2%), seizure (7,1%) and other complications related to the shunt device (6,1%) (12). Infections, obstruction and fractures are the usual indications of shunt revisions.…”

Section: Borcek Ao Et Al: Ventriculoperitoneal Shunt Complicationmentioning

confidence: 99%

An unusual ventriculoperitoneal shunt complication: spontaneous knot formation

Börcek

Çivi²,

Goleń³

et al. 2010

Turkish Neurosurgery

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This article aims to describe an extraordinary complication of a ventriculoperitoneal shunt system that formed a knot spontaneously and lead to a shunt malfunction. A 3-year-old male patient was operated due to posttraumatic hydrocephalus. After an uneventful follow-up period of 34 months, he presented with shunt malfunction. During the shunt revision surgery, the peritoneal catheter was found to form a loop over itself. There are various complications of ventriculoperitoneal shunt systems. Migration to body cavities is among the most interesting ones. This is the fifth report describing this rare complication. Hydrocephalic patients should be closely followed up after shunt surgery for various extraordinary complications. KeywOrds: V/P Shunt, Shunt Complication, Shunt Malfunction ÖZBu makale, kendi üzerine katlanarak bir düğüm oluşturup şant malfonksiyonuna neden olan ventriküloperitoneal şant sisteminin yol açtığı bu sıradışı bir komplikasyonu incelemektedir. Travma sonrasında gelişen hidrosefali nedeni ile opere edilen 3 yaşındaki erkek hasta 34 aylık sorunsuz bir takip süresi ardından şant malfonksiyonu ile başvurdu. Şant revizyonu sırasında peritoneal kateterin kendi üzerine katlanarak bir düğüm oluşturduğu gözlendi. Ventriküloperitoneal şant sistemlerine ait birçok farklı komplikasyon bildirilmiştir. Vücut boşluklarına migrasyon bu komplikasyonlardan en ilginç olanlar arasındadır. Bu makalede, sunulan vaka literatürdeki beşinci vakadır. Hidrosefalili hastalar şant cerrahisi sonrasında bu komplikasyonlar için yakın takipte tutulmalıdırlar.

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Section: Borcek Ao Et Al: Ventriculoperitoneal Shunt Complicationmentioning

confidence: 99%

An unusual ventriculoperitoneal shunt complication: spontaneous knot formation

Börcek

Çivi²,

Goleń³

et al. 2010

Turkish Neurosurgery

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“…Thoracic complications are relatively less common and include CSF hydrothorax. Migration of the peritoneal end of a VP shunt into the chest accounts for the majority of thoracic complications of these devices, while passing the distal catheter through the chest cavity during tunneling is very rare [6][7][8]. The surgeon usually advances the shunt passer subcutaneously from the scalp wound inferiorly.…”

Section: Discussionmentioning

confidence: 99%

“…This was asymptomatic for 11 months before catheter migration into the chest cavity caused hydrothorax, as demonstrated in several chest X-rays. We postulate that the mechanism for this unusual type of shunt migration is that during respirations, negative inspiratory pressure would have slowly drawn the entire distal shunt catheter into the chest [6][7][8]11]. Reviewing the literature, among the cases identified with CSF hydrothorax as unusual complications of VP shunt, three were found to have iatrogenic placement of the distal catheter through the chest cavity and later on, the catheter migrated into the pleural space producing CSF hydrothorax [12][13][14].…”

Section: Discussionmentioning

confidence: 99%

“…Migrations of distal shunt catheters of VP shunts are classified into two types: supra-diaphragmatic and trans-diaphragmatic migration. In cases of trans-diaphragmatic intrathoracic migration of a peritoneal catheter, the presence of congenital diaphragmatic hiatuses; foramen of Morgagni or foramen of Bochdalek, might allow a prolapse of the peritoneal catheter into the thoracic cavity [4][5][6][7][8]. These two locations are the weak points of the diaphragm.…”

Section: Discussionmentioning

confidence: 99%

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Cerebrospinal fluid hydrothorax, an unusual complication of ventriculoperitoneal shunt

et al. 2015

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Cerebrospinal fluid (CSF) hydrothorax is a very rare complication following ventriculoperitoneal (VP) shunt. We report a 14-month-old boy, who was diagnosed to have open neural tube defect associated with ventriculomegaly. He underwent VP shunt at the age of 1 months. He presented with high-grade fever, shortness of breath, tachypnea, wheezy chest, and productive cough. Plain chest X-ray and computerized tomography revealed pleural effusion with distal catheter of the shunt located in the right pleural cavity. He underwent externalization of the distal catheter followed by VP shunt revision. In the present case, CSF hydrothorax resulted from migration of the distal catheter into the pleural cavity. We reviewed 17 hitherto reported cases in the literature and the causes that lead to CSF hydrothorax are discussed. We emphasize the importance of careful and proper placement of the distal catheter during the tunneling procedure to prevent life-threatening complications.

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“…Distal peritoneal catheter could be migrated into the unusual diverse locations. Intrathoracic migration of the distal catheter into the pleural cavity is a rare complication 1,2,5,12,16) . Among them, there are only several reports involving migration of the distal catheter into the heart and pulmonary artery 3,4,8,10,11,13,14) .…”

Section: Introductionmentioning

confidence: 99%