Recurrent pneumonia caused by transdiaphragmatic erosion of a ventriculoperitoneal shunt into the lung: Case report

Soner Sahin, Aimen F. Shaaban, Bermans J. Iskandar*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

15 Scopus citations

Abstract

To the best of the authors' knowledge, this report represents the first description of a ventriculoperitoneal (VP) shunt that migrated into the chest cavity where it caused recurrent pneumonias. This 15-year-old boy with a history of hydrocephalus treated with VP shunt therapy as an infant presented with a 2-year history of chronic coughing and recurrent pneumonia. A high-resolution chest computed tomography scan revealed a right lower lobe infiltration and evidence of migration of the peritoneal shunt tubing through the diaphragm into the lung parenchyma. The catheter was pulled back into the peritoneal cavity via a simple abdominal incision. The patient's long-term outcome was excellent, and there was complete cessation of the pneumonia.

Original languageEnglish (US)
Pages (from-to)156-158
Number of pages3
JournalJournal of neurosurgery
Volume107
Issue number2 SUPPL.
DOIs
StatePublished - Aug 1 2007

Keywords

  • Diaphragm perforation
  • Pediatric neurosurgery
  • Recurrent pneumonia
  • Ventriculoperitoneal shunt

ASJC Scopus subject areas

  • Clinical Neurology
  • Surgery

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