{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,24]],"date-time":"2026-09-24T15:48:39Z","timestamp":1790264919629,"version":"4.1.0"},"reference-count":20,"publisher":"Scientific Scholar","content-domain":{"domain":["surgicalneurologyint.com"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec id=\"st1\"><jats:title>Background:<\/jats:title><jats:p>Symptomatic pleural effusion following ventriculoperitoneal shunt (VPS) insertion is very rare and poorly understood in the literature in contrary to other mechanical complications.<\/jats:p><\/jats:sec><jats:sec id=\"st2\"><jats:title>Case Description:<\/jats:title><jats:p>We report a case of 15 month-year-old girl who had VP shunt for congenital hydrocephalus. Twelve months after surgery, she was diagnosed with massive hydrothorax. Chest X-ray and thoracoabdominal CT scan confirmed the right pleurisy and showed the tip of the peritoneal catheter in the general peritoneal cavity. We made thoracic drainage of the transudative pleural effusion. When we released the chest tube, 24 h after, the girl showed a respiratory distress again and the effusion resumed at the X-ray control. Her symptoms abated after the realization of a ventriculoatrial shunt \u201cVAS.\u201d Repeat chest X-ray confirmed the resolution of the hydrothorax.<\/jats:p><\/jats:sec><jats:sec id=\"st3\"><jats:title>Conclusion:<\/jats:title><jats:p>Despite the not yet well-understood mechanism of this rare and important VPS complication, management is simple based on X-ray confirmation, thoracentesis with biological analysis, and catheter replacement, especially in atrium \u201cVAS.\u201d<\/jats:p><\/jats:sec>","DOI":"10.25259\/sni_57_2020","type":"journal-article","created":{"date-parts":[[2020,9,18]],"date-time":"2020-09-18T06:29:05Z","timestamp":1600410545000},"page":"291","update-policy":"https:\/\/doi.org\/10.25259\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["A rare complication of ventriculoperitoneal shunt: Pleural effusion without intrathoracic ventriculoperitoneal shunt catheter"],"prefix":"10.25259","volume":"11","author":[{"given":"Said","family":"Hilmani","sequence":"first","affiliation":[{"name":"Department of Neurosurgical, SAID Hilmani, Casablanca, Morocco."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tarek","family":"Mesbahi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgical, SAID Hilmani, Casablanca, Morocco."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abderrahman","family":"Bouaggad","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology, Clinic Dar Salam, UHC Ibn Rusch, Casablanca, Morocco."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdelhakim","family":"Lakhdar","sequence":"additional","affiliation":[{"name":"Department of Neurosurgical, SAID Hilmani, Casablanca, Morocco."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"10894","published-online":{"date-parts":[[2020,9,18]]},"reference":[{"key":"10.25259\/SNI_57_2020\/ref-1","doi-asserted-by":"crossref","first-page":"186","DOI":"10.1007\/s00381-005-1164-y","article-title":"Symptomatic pleural effusion without intrathoracic migration of ventriculoperitoneal shunt catheter","volume":"22","author":"Adeolu","year":"2006","journal-title":"Childs Nerv Syst"},{"key":"10.25259\/SNI_57_2020\/ref-2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1080\/02688690410001681046","article-title":"A thoracic complication of ventriculoperitoneal shunt: Symptomatic hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter","volume":"18","author":"Aky\u00fcz","year":"2004","journal-title":"Br J Neurosurg"},{"key":"10.25259\/SNI_57_2020\/ref-3","doi-asserted-by":"crossref","first-page":"810","DOI":"10.1177\/0883073808314157","article-title":"Pleural effusion: Beta-Trace protein in diagnosing ventriculoperitoneal shunt complications","volume":"23","author":"Born","year":"2008","journal-title":"J Child Neurol"},{"key":"10.25259\/SNI_57_2020\/ref-4","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1002\/ppul.21510","article-title":"Recurrent pleural effusion without intrathoracic migration of ventriculoperitoneal shunt catheter: A case report","volume":"47","author":"Chuen-Im","year":"2012","journal-title":"Pediatr Pulmonol"},{"key":"10.25259\/SNI_57_2020\/ref-5","doi-asserted-by":"crossref","first-page":"294","DOI":"10.1097\/00006123-199808000-00068","article-title":"Randomized trial of cerebrospinal fluid shunt valve design in pediatric hydrocephalus","volume":"43","author":"Drake","year":"1998","journal-title":"Neurosurgery"},{"key":"10.25259\/SNI_57_2020\/ref-6","doi-asserted-by":"crossref","first-page":"594","DOI":"10.3171\/jns.1998.88.3.0594","article-title":"Hydrothorax after ventriculoperitoneal shunt placement in a premature infant: An iatrogenic postoperative complication. 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