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  • Title: Hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter.
    Author: Doh JW, Bae HG, Lee KS, Yun IG, Byun BJ.
    Journal: Surg Neurol; 1995 Apr; 43(4):340-3. PubMed ID: 7792702.
    Abstract:
    BACKGROUND: The intrathoracic complications of the ventriculoperitoneal (VP) shunt are very rare. We report an unusual case of VP shunt complication with intrathoracic migration, associated with pleural effusion in a 55-year-old man. METHODS: We reviewed the seven cases reported in the literature and the mechanism of shunt-tip migration and preventive measures are presented. RESULTS: The patient was successfully managed with revision. The catheter was retrieved and replaced in the peritoneal cavity. CONCLUSIONS: With VP shunting, it is important to keep in mind the possibility of peritoneal shunt-tip migration into the chest. To prevent this kind of complication, we stressed precise location of a subcutaneous tunneling device above the ribs during subcutaneous passage.
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