• Neurocirugia · Sep 2015

    Review Case Reports

    [Intrathoracic migration of a ventriculoperitoneal shunt catheter: a case report].

    • Yanire Sánchez-Medina, Jaime Domínguez-Báez, Eglis Lazo-Fernández, Pedro Antonio Pérez Del Rosario, and Robert Zanabria-Ortiz.
    • Servicio de Neurocirugía, Hospital Universitario Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Tenerife, España. Electronic address: yanire.sm@hotmail.com.
    • Neurocirugia. 2015 Sep 1; 26 (5): 256-9.

    BackgroundThe intrathoracic complications from ventriculoperitoneal shunt placement are very rare. However, they are potentially serious if not treated.Clinical CaseWe report the case of thoracic migration of a peritoneal catheter after ventriculoperitoneal shunt and we also review the literature references with discussion of the different mechanisms of shunt-tip migration described. No case of previous sternotomy as in our patient has been found published.ConclusionAll reports recommend early catheter repositioning into the peritoneal cavity after diagnosing the migration described, to prevent worse complications. Moreover, it is important to keep in mind that intrathoracic migration can happen and it is necessary to palpate the catheter continuously during passage through subcutaneous tunnelling to prevent it.Copyright © 2014 Sociedad Española de Neurocirugía. Published by Elsevier España. All rights reserved.

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