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01-01-2021 | Basic Surgery | Case Report

Intrathoracic migration of ventriculo-peritoneal shunt via Morgagni hernia

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

Published in: Child's Nervous System | Issue 1/2021

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.

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

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 18:171–173CrossRef

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 49:503–507CrossRef

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

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 61:552–553CrossRef

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

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

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

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

10.

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

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 23:768–769CrossRef

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 28:180–182CrossRef

13.

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

14.

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

15.

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

16.

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

17.

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

18.

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

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 13:282–284CrossRef

20.

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

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 44:1–6CrossRef

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 21:261–263CrossRef

23.

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

Title: Intrathoracic migration of ventriculo-peritoneal shunt via Morgagni hernia
Authors: Paige A. Lundy
Michael D. Partington
Chad A. Tuchek
David M. Garcia
Publication date: 01-01-2021
Publisher: Springer Berlin Heidelberg
Keywords: Basic Surgery
Diaphragmatic Hernia
Pleural Effusion
Trisomy 21
Diaphragmatic Hernia
Published in: Child's Nervous System / Issue 1/2021
Print ISSN: 0256-7040
Electronic ISSN: 1433-0350
DOI: https://doi.org/10.1007/s00381-020-04926-7

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Intrathoracic migration of ventriculo-peritoneal shunt via Morgagni hernia

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

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