Intra-bronchial migration of peritoneal catheter of lumboperitoneal shunt

Kawahara, Takashi; Yanagi, Masakazu; Hirano, Hirofumi; Arita, Kazunori

doi:10.4103/2152-7806.168314

Cited by 4 publications

(2 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Various fistulas may result from VP shunt migration: umbilical CSF fistulas, enterocutaneous fistulas, and bronchopleural fistulas 9 , 17, 18, 19. Lumboperitoneal shunts may also migrate into the thorax and bronchus 20 . Ventriculoatrial shunting may be complicated by migration into the pericardium to cause cardiac tamponade or into the pulmonary system to create a bronchovenous fistula as late as 5 years after initial shunt implantation 21 , 22 .…”

Section: Discussion Resume Herementioning

confidence: 99%

See 1 more Smart Citation

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

Katsevman

Harron

Bhatia

2020

World Neurosurgery: X

View full text Add to dashboard Cite

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.

show abstract

Section: Discussion Resume Herementioning

confidence: 99%

“…Diagnosis will be based on a combination of clinical and radiographic findings. Bronchoscopy may be used to directly visualize the defect and assess for a possible need for repair 20 . Shuntograms with contrast material or radioactive isotope may be used to assess shunt patency 46, 47, 48, 49, 50.…”

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

View full text Add to dashboard Cite

show abstract

Lumboperitoneal shunts for the treatment of idiopathic normal pressure hydrocephalus

Yerneni

Karras

Larkin

et al. 2021

Journal of Clinical Neuroscience

View full text Add to dashboard Cite

Intrabronchial migration of hemostatic agent through a bronchial fistula after lung transplantation: a case report

et al. 2021

View full text Add to dashboard Cite

Background A bronchial fistula is a relatively rare and potentially fatal complication after lung transplantation. Thoracic surgeons and pulmonologists often face challenges when selecting treatment options. We herein report an exceptional case of intrabronchial migration of a nonabsorbable hemostatic agent, which had been placed around the pulmonary artery at the time of lung transplantation, through a bronchial fistula. Case presentation A 61-year-old man developed respiratory distress 1 year after left single-lung transplantation for idiopathic interstitial pneumonia. Bronchoscopic examination revealed an apparent foreign body protruding from the mediastinum into the distal site of the bronchial anastomosis. The foreign body was easily removed bronchoscopically and appeared to be a hemostatic agent that had been placed during the previous lung transplantation. The patient developed a similar clinical episode and finally developed hemoptysis. Computed tomography revealed a foreign body located between the bronchus and pulmonary artery, partially protruding into the bronchial lumen. Given the possibility of a bronchopulmonary arterial fistula, surgical treatment was performed. The foreign body was located between the bronchus and left pulmonary artery and was easily removed. Multiple bronchial fistulas were found, and all were closed with direct sutures. Bypass grafting of the left pulmonary artery was then performed, initially with a homograft but eventually with an extended polytetrafluoroethylene graft. The patient was finally discharged 5 months after the surgery. Conclusion We experienced an extremely rare case of intrabronchial migration of hemostatic agents used during the previous lung transplantation through a bronchial fistula, which were successfully managed by direct bronchial closure and bypass grafting of the left pulmonary artery.

show abstract

Intra-bronchial migration of peritoneal catheter of lumboperitoneal shunt

Cited by 4 publications

References 9 publications

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

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

Lumboperitoneal shunts for the treatment of idiopathic normal pressure hydrocephalus

Intrabronchial migration of hemostatic agent through a bronchial fistula after lung transplantation: a case report

Contact Info

Product

Resources

About