Amien Bothayna, Harky Amer, Hill Amy, Shackcloth Michael, Asante-Siaw Julius
Cardiothoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, GBR.
Anaesthesia and Critical Care, Liverpool Heart and Chest Hospital, Liverpool, GBR.
Cureus. 2023 Dec 24;15(12):e51021. doi: 10.7759/cureus.51021. eCollection 2023 Dec.
We present the case of a 40-year-old female who underwent several insertions of ventriculoperitoneal (VP) shunts as a part of the treatment for idiopathic intracranial hypertension (IIH). Several years after the insertion of the last VP shunt, the patient started experiencing shortness of breath (SOB) and cough; after further assessment, it was noted on computed tomography (CT) scan that the VP shunt had migrated into the right lower lobe of the lung and perforated the distal left main bronchus. The shunt was successfully retrieved using bronchoscopy under general anesthesia, after which the patient had a complete resolution of symptoms. Shunt migration is one of the rare complications that can happen years after shunt insertion. Therefore, we present this rare case of shunt migration into the thorax cavity to highlight the presentation of this complication and its successful management.
我们报告了一例40岁女性患者,作为特发性颅内高压(IIH)治疗的一部分,她接受了多次脑室腹腔(VP)分流术植入。在最后一次VP分流术植入数年之后,患者开始出现呼吸急促(SOB)和咳嗽;进一步评估后,计算机断层扫描(CT)显示VP分流管已迁移至右下肺叶并穿破左主支气管远端。在全身麻醉下通过支气管镜成功取出分流管,此后患者症状完全缓解。分流管迁移是分流术植入数年之后可能发生的罕见并发症之一。因此,我们展示这例罕见的分流管迁移至胸腔的病例,以突出该并发症的表现及其成功的处理。