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Intrathoracic migration of ventriculo-peritoneal shunt via Morgagni hernia

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Abstract

We present the case of a 5-month-old patient presenting with pleural migration of ventriculo-peritoneal shunt catheter who returned 2 months later with respiratory distress. Ultimately, the diagnosis of a Morgagni hernia was made. This diagnosis, though rare, should be entertained in certain clinical settings.

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Abbreviations

VPS:

Ventriculo-peritoneal shunt

CDH:

Congenital diaphragmatic hernia

References

  1. Adeloye A (1973) Spontaneous extrusion of the abdominal tube through the umbilicus, complicating peritoneal shunt for hydrocephalus. Neurosurg 38:758–760

    Article  CAS  Google Scholar 

  2. Akyuz M, Ucar T, Goksu E (2004) A thoracic complication of ventriculoperitoneal shunt: symptomatic hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter. Br J Neurosurg 18:171–173

    Article  CAS  Google Scholar 

  3. Al-Salem AH, Zamakhshary M, Mohaidly MA, Al-Qahtani A, Abdulla MR, Naga MI (2014) Congenital Morgagni’s hernia: a national multicenter study. J peds surg 49:503–507

    Article  Google Scholar 

  4. Albala DM (1989) Ventriculoperitoneal shunt migration into scrotum. Am Surg 55:685–688

    CAS  PubMed  Google Scholar 

  5. Cakin H, Kaplan M, Ozturk S, Kazez A (2013) Intrathoracic migration of ventriculoperitoneal shunt through the Morgagni’s hernia in case with down syndrome: a rare shunt complication. Neurol India 61:552–553

    Article  Google Scholar 

  6. Cooper JR (1978) Migration of ventriculoperitoneal shunt into the chest. J Neurosurg 48:146–147

    Article  CAS  Google Scholar 

  7. Di Roio C, Mottolese C (2000) Ventriculoperitoneal shunt and pleural effusion. Ann Fr Anesth Reanim 19:333–334

    Article  Google Scholar 

  8. Dickman CA, Gilbertson D, Pittman HW, Rekate HL, Daily WJ (1989) Tension hydrothorax from intrapleural migration of a ventriculoperitoneal shunt. Pediatr Neurosci 15:313–316

    Article  CAS  Google Scholar 

  9. Doh JW, Bae HG, Lee KS, Yun IG, Byun BJ (1995) Hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter. Surg Neurol 340:340–343

    Article  Google Scholar 

  10. Ergun R, Okten AI, Gezercan Y (2008) Hydrothorax: transdiaphragmatic migration of a ventriculoperitoneal shunt catheter. Pediatr Neurosurg 44:62–64

    Article  Google Scholar 

  11. Gaudio R, Tommasi AD, Occhiogrosso M, Vailati G (1988) Respiratory distress caused by migration of ventriculoperitoneal shunt catheter into the chest cavity: report of a case and review of the literature. Neurosurgery 23:768–769

    Article  CAS  Google Scholar 

  12. Glatstein MM, Roth J, Scolnik D, Haham A, Rimon A, Koren L (2012) Late presentation of massive pleural effusion from intrathoracic migration of a ventriculoperitoneal shunt catheter: case report and review of the literature. Pediatr Emerg Care 28:180–182

    Article  Google Scholar 

  13. Gonzales MG (1987) Extrusion of peritoneal catheter through the anus. Childs Nerv Syst 3:183–184

    Article  Google Scholar 

  14. Griffith JA, Defeo D (1987) Peroral extrusion of a ventriculoperitoneal shunt catheter. Neurosurg 21:259–261

    Article  CAS  Google Scholar 

  15. Johnson MC, Maxwell MS (1995) Delayed intrapleural migration of a ventriculoperitoneal shunt. Childs Nerv Syst 11:348–350

    Article  CAS  Google Scholar 

  16. Karapolat S, Onen A, Sanli A (2008) Intrathoracic migration of ventriculoperitoneal shunt: a case report. Cases J 1:42

    Article  CAS  Google Scholar 

  17. Kiran NA, Kasliwal MK, Mahapatra AS (2010) Intrathoracic migration of ventriculoperitoneal shunt. Indian J Pediatr 77:335

    Article  Google Scholar 

  18. Leshen M (2016) Richardson R: Bilateral Morgagni hernia: a unique presentation of a rare pathology. Case reports in radiology 1–3:7505329

    Google Scholar 

  19. Martin LM, Donaldson-Hugh ME, Cameron MM (1997) Cerebrospinal fluid hydrothorax caused by transdiaphragmatic migration of a ventriculoperitoneal catheter through the foramen of Bochdalek. Childs Nerv Syst 13:282–284

    Article  CAS  Google Scholar 

  20. Patel CD, Matloub H (1973) Vaginal perforation as a complication of ventriculoperitoneal shunt. J Neurosurg 38:761–762

    Article  CAS  Google Scholar 

  21. Porcaro F, Procaccini E, Paglietti MG, Schiavino A, Petreschi F, Cutera R (2018) Pleural effusion from intrathoracic migration of a ventriculo-peritoneal shunt catheter: pediatric case report and review of the literature. Ital J Pediatr 44:1–6

    Article  Google Scholar 

  22. Samdani AF, Storm PB, Kuchner EB, Garonzik IM, Sciubba D, Carson B (2005) Ventriculoperitoneal shunt malfunction presenting with pleuritic chest pain. Pediatr Emerg Care 21:261–263

    Article  Google Scholar 

  23. Taub E, Lavyne MH (1994) Thoracic complications of ventriculoperitoneal shunts: case report and review of the literature. Neurosurg 34:181–184

    CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Neurological Surgery, University of Kansas, Kansas City, KS, USA

    Paige A. Lundy, Michael D. Partington, Chad A. Tuchek & David M. Garcia

  2. The University of Kansas Health System, 3901 Rainbow Blvd Mail Stop 3021, Kansas City, KS, 66160, USA

    Paige A. Lundy

  3. Children’s Mercy Hospital, Kansas City, MO, USA

    Michael D. Partington & David M. Garcia

  4. University of Missouri at Kansas City, Kansas City, MO, USA

    Michael D. Partington & David M. Garcia

Authors
  1. Paige A. Lundy
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  2. Michael D. Partington
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  3. Chad A. Tuchek
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  4. David M. Garcia
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All authors contributed to data collection, manuscript development, and final review.

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Correspondence to Paige A. Lundy.

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Lundy, P.A., Partington, M.D., Tuchek, C.A. et al. Intrathoracic migration of ventriculo-peritoneal shunt via Morgagni hernia. Childs Nerv Syst 37, 345–347 (2021). https://doi.org/10.1007/s00381-020-04926-7

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  • DOI: https://doi.org/10.1007/s00381-020-04926-7

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