Case Report
Copyright ©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Oct 6, 2020; 8(19): 4676-4680
Published online Oct 6, 2020. doi: 10.12998/wjcc.v8.i19.4676
Displacement of peritoneal end of a shunt tube to pleural cavity: A case report
Jie Liu, Mian Guo
Jie Liu, Mian Guo, Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, Harbin 150086, Heilongjiang Province, China
Author contributions: Liu J collected the data and wrote the manuscript; Guo M designed the work and revised the manuscript; all authors read and approved the final manuscript.
Supported by National Natural Science Foundation of China, No. 81773161 and No. 81572472.
Informed consent statement: Written informed consent was obtained from the patient.
Conflict-of-interest statement: The authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have included all the items required by the checklist.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Mian Guo, MD, PhD, Professor, Department of Neurosurgery, The Second Affiliated Hospital of Harbin Medical University, No. 246 Xuefu Street, Harbin 150086, Heilongjiang Province, China. guomian@hrbmu.edu.cn
Received: April 30, 2020
Peer-review started: April 30, 2020
First decision: July 25, 2020
Revised: August 1, 2020
Accepted: August 26, 2020
Article in press: August 26, 2020
Published online: October 6, 2020
Processing time: 150 Days and 17.5 Hours
Abstract
BACKGROUND

The common treatment for hydrocephalus is insertion of a ventriculoperitoneal shunt. Shunt tube displacement is one of the common complications. Most shunt tube displacements occur in children and has a reportedly lower incidence in adults.

CASE SUMMARY

This study reports an adult patient (male, 56 years) who suffered from intracranial aneurysm and subarachnoid hemorrhage and underwent aneurysm clipping following hospitalization. One month post onset of the disease, the patient underwent ventriculoperitoneal shunt due to hydrocephalus. The peritoneal end of the shunt tube was displaced in the peritoneal cavity 9 years after the aneurysm clipping. The peritoneal end of the shunt tube was removed and ventriculoperitoneal shunt was re-performed after anti-inflammatory treatment.

CONCLUSION

Shunt tube displacement has a low incidence in adults. In order to avoid shunt tube displacement, there is a need to summarize its causative factors and practice personalized medicine.

Keywords: Ventriculoperitoneal shunt; Hydrocephalus; Shunt tube displacement; Pleural cavity; Intracranial aneurysm; Case report; Subarachnoid hemorrhage

Core Tip: There is a certain incidence of shunt tube displacement in adults. We should summarize the related factors for shunt tube displacement to avoid or reduce its occurrence, and make individualized treatment according to the characteristics of each patient.