Broncho-pleural fistula due to trans-diaphragmatic migration of the distal end of ventriculo-peritoneal shunt.
We report two cases of broncho-pleural fistula resulting from trans-diaphragmatic migration of the distal catheter of a ventriculo-peritoneal shunt. Relevant literature on thoracic complications of a ventriculo-peritoneal shunt is reviewed. The clinical presentation, diagnosis and management of V-P shunt-related broncho-pleural fistulae are discussed.
Leyon
Joe J
JJ
Department of Neurosurgery and Neuroradiology, Regional Neurosciences Unit, Royal Victoria Hospital, Belfast BT12 6BA, United Kingdom.
Kaliaperumal
Chandrasekaran
C
Flynn
Peter A
PA
Gray
W John
WJ
Kelly
Martin G
MG
Choudhari
Kishor A
KA
D000063:Accidents, Traffic; D000293:Adolescent; D000328:Adult; D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000473:pathology*; D003371:Cough / Q000150:complications; D005260:Female; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology; D008297:Male; D009104:Multiple Trauma / Q000473:pathology; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000473:pathology*; D011247:Pregnancy; D013902:Radiography, Thoracic; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*