{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:10:06Z","timestamp":1745745006509,"version":"3.40.4"},"reference-count":25,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"published-print":{"date-parts":[[2011]]},"abstract":"<jats:p>A gentleman, aged 54, with shunted hydrocephalus presented with recurrent chest infections. He had a ventriculoperitoneal (VP) shunt inserted when he was 38 years old for obstructive hydrocephalus due to a cerebellar tumour, with no subsequent shunt revisions since. Over a 2-year period, he presented with three episodes of pneumonia, which, on each occasion, responded well to antibiotics but then subsequently recurred. A chest x-ray identified the distal end of the VP shunt above the level of the diaphragm. CT scan found the distal end of the shunt tubing to be within a pulmonary bronchus. The VP shunt was revised and the patient had no subsequent recurrences of his chest infections. The authors review the complications of VP shunt placement including the more common sites of shunt tubing migration.<\/jats:p>","DOI":"10.1136\/bcr.10.2010.3380","type":"journal-article","created":{"date-parts":[[2011,2,2]],"date-time":"2011-02-02T14:49:56Z","timestamp":1296658196000},"page":"bcr1020103380","source":"Crossref","is-referenced-by-count":1,"title":["An unusual case of recurrent pneumonia"],"prefix":"10.1136","volume":"2011","author":[{"given":"Robert","family":"Corns","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krzysztof R M","family":"Rakowski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Giles","family":"Critchley","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2011,2,2]]},"reference":[{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.1","doi-asserted-by":"publisher","DOI":"10.1227\/00006123-199401000-00028"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.2","doi-asserted-by":"publisher","DOI":"10.1186\/1757-1626-1-42"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.3","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1097\/00000542-197710000-00015","article-title":"Ventriculobronchial fistula complicating ventriculoperitoneal shunt","volume":"47","author":"Rao","year":"1977","journal-title":"Anesthesiology"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(62)80069-9"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.5","doi-asserted-by":"crossref","first-page":"574","DOI":"10.3171\/jns.1969.31.5.0574","article-title":"Bronchovenous fistula as a late complication of a ventriculoatriostomy. Case report","volume":"31","author":"Isamat","year":"1969","journal-title":"J Neurosurg"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.6","first-page":"585","article-title":"Liquordr\u00c3\u00a4nage in das bronchialsystem: eine ungew\u00c3\u00b6hnliche Sp\u00c3\u00a4tkomplikation nach ventrikulo-kardialer shunt-operation","volume":"10","author":"von Rohden","year":"1971","journal-title":"P\u00c3\u00a4diat Prax"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.7","doi-asserted-by":"publisher","DOI":"10.4103\/1817-1745.57340"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.8","first-page":"176","article-title":"An unusual complication of the ventriculo-peritoneal shunt: migration of the distal end into the scrotum through the inguinal canal","volume":"1","author":"Gocer","year":"1990","journal-title":"Turk Neurosurg"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.9","first-page":"30","article-title":"Intracranial migration of a ventriculo-peritoneal shunt catheter","volume":"4","author":"Pereira","year":"2005","journal-title":"Intern J Pediatr Neonatol"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.10","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-009-0282-9"},{"issue":"3A","key":"2025042701324868000_2011.jan29_1.bcr1020103380.11","doi-asserted-by":"crossref","first-page":"697","DOI":"10.1590\/S0004-282X2009000400024","article-title":"Distal migration of ventriculoperitoneal shunting catheter under silicon breast implant","volume":"67","author":"Mudo","year":"2009","journal-title":"Arq Neuropsiquiatr"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.12","doi-asserted-by":"publisher","DOI":"10.1007\/s00381-009-1052-y"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.13","doi-asserted-by":"publisher","DOI":"10.1097\/00006123-199704000-00022"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.14","first-page":"100","article-title":"Extremely rare complications in cerebrospinal fluid shunt operations","volume":"46","author":"Surchev","year":"2002","journal-title":"J Neurosurg Sci"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.15","doi-asserted-by":"crossref","first-page":"775","DOI":"10.3171\/jns.1973.39.6.0775","article-title":"Two unusual complications of a ventriculoperitoneal shunt. Case report","volume":"39","author":"Portnoy","year":"1973","journal-title":"J Neurosurg"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.16","first-page":"182","article-title":"Unusual migration of the distal catheter of a ventriculoperitoneal shunt into the vagina","volume":"32","author":"Farrokhi","year":"2007","journal-title":"Iran J Med Sci"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.17","doi-asserted-by":"crossref","first-page":"761","DOI":"10.3171\/jns.1973.38.6.0761","article-title":"Vaginal perforation as a complication of ventriculoperitoneal shunt. Case report","volume":"38","author":"Patel","year":"1973","journal-title":"J Neurosurg"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.18","doi-asserted-by":"publisher","DOI":"10.1007\/s00701-007-1413-9"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.19","doi-asserted-by":"publisher","DOI":"10.4076\/1757-1626-2-8251"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.20","first-page":"156","article-title":"Recurrent pneumonia caused by transdiaphragmatic erosion of a ventriculoperitoneal shunt into the lung. Case report","volume":"107","author":"Sahin","year":"2007","journal-title":"J Neurosurg"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.21","first-page":"147","article-title":"Supradiaphragmatic and transdiaphragmatic intrathoracic migration of a ventriculoperitoneal shunt catheter","volume":"13","author":"Rahimi Rad","year":"2007","journal-title":"Hong Kong Med J"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.22","doi-asserted-by":"publisher","DOI":"10.1007\/s003830100608"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.23","doi-asserted-by":"publisher","DOI":"10.2176\/nmc.42.181"},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.24","unstructured":"South West London Cancer Network. Referral for suspected cancer: GP advice pack. (Updated for NICE Clinical Guideline CG29 June 2005), 2006."},{"key":"2025042701324868000_2011.jan29_1.bcr1020103380.25","doi-asserted-by":"crossref","first-page":"383","DOI":"10.1183\/18106838.0304.383","article-title":"What is the rare but well-documented cause of this recurrent chest infection?","volume":"3","author":"Nandakumar","year":"2007","journal-title":"Breathe"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.10.2010.3380","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T08:32:55Z","timestamp":1745742775000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.10.2010.3380"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011]]},"references-count":25,"alternative-id":["10.1136\/bcr.10.2010.3380"],"URL":"https:\/\/doi.org\/10.1136\/bcr.10.2010.3380","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2011]]}}}