title: [Hydrothorax as a complication of a ventricle peritoneal shunt. A case report].
abstract: The ventricle peritoneal (VP) shunt is commonly used in the treatment of hydrocephalus. It is a relatively simple and effective technique, but around 70% of the patients with a VP shunt have a complication in their lifetime. Most of these complications are due to infection or mechanical dysfunction. The thoracic complications are rare. The present case is one of the small number of them found in the literature, describing hydrothorax as a complication of a VP shunt without catheter migration and without ascites. The case is presented of a 2 year-old girl with VP shunt. The patient was diagnosed with pleural effusion compatible with hydrothorax. After finding beta-2-transferrin in the pleural fluid, it was it was shown to be from cerebrospinal fluid. Cranial CT showed the catheter in a proper position, and the Xray and ultrasound showed the catheter correctly positioned in the peritoneum.
authors.affiliation: Servicio de Pediatría, Complejo Hospitalario Universitario de A Coruña, A Coruña, España. Electronic address: rmyeboles@hotmail.com.
authors.forename: Raúl M
authors.initials: RM
authors.lastname: Yéboles
authors.affiliation: Servicio de Pediatría, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
authors.forename: Lorena
authors.initials: L
authors.lastname: Vázquez
authors.affiliation: Servicio de Pediatría, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Seoane
authors.affiliation: Servicio de Pediatría, Complejo Hospitalario Universitario de A Coruña, A Coruña, España.
authors.forename: Susana
authors.initials: S
authors.lastname: Castro
authors.affiliation: Servicio de Pediatría, Complejo Hospitalario Universitario de Santiago de Compostela, Santiago de Compostela, A Coruña, España.
authors.forename: Beatriz
authors.initials: B
authors.lastname: Ruiz
mesh_terms: D000074042:Cerebral Intraventricular Hemorrhage / Q000150:complications; D002675:Child, Preschool; D004200:Diseases in Twins; D004322:Drainage; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology / Q000601:surgery*; D006876:Hydrothorax / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D010996:Pleural Effusion / Q000000981:diagnostic imaging / Q000209:etiology / Q000378:metabolism / Q000601:surgery; D011651:Pulmonary Artery / Q000002:abnormalities; D011666:Pulmonary Valve Stenosis / Q000150:complications; D013908:Thoracotomy; D014168:Transferrin / Q000032:analysis; D017287:Ventriculoperitoneal Shunt / Q000009:adverse effects*
chemical_list: D014168:Transferrin
keywords: Derivación ventriculoperitoneal; Derrame pleural; Hidrocefalia; Hidrotórax; Hydrocephalus; Hydrothorax; Pleural effusion; Transferrin; Transferrina; Ventricle peritoneal shunt