{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T09:21:11Z","timestamp":1770888071569,"version":"3.50.1"},"reference-count":24,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1998,3]]},"abstract":"<jats:p content-type=\"fine-print\">\u2713 The authors describe the case of a prematurely born infant who developed hydrothorax after ventriculoperitoneal (VP) shunt placement for treatment of posthemorrhagic communicating hydrocephalus. Prior to shunt placement a bout of necrotizing enterocolitis created intense abdominal and peritoneal scarring. The authors postulate that the scarring created poor peritoneal absorption capacity of cerebrospinal fluid (CSF), with preferential flow of CSF from the peritoneal to the pleural cavity. A <jats:sup>99m<\/jats:sup>Tc-diethylenetriamine pentaacetic acid radionucleotide study enabled the authors to rule out shunt malfunction, and preferential transdiaphragmatic flow of CSF from the abdomen to the thoracic cavity was demonstrated. The hydrothorax resolved after conversion of the VP shunt to a ventriculoatrial shunt. Respiratory distress after VP shunt placement should be considered an unusual but important sentinel symptom in the differential diagnosis of postoperative shunt complications.<\/jats:p>","DOI":"10.3171\/jns.1998.88.3.0594","type":"journal-article","created":{"date-parts":[[2009,6,16]],"date-time":"2009-06-16T02:25:11Z","timestamp":1245119111000},"page":"594-597","source":"Crossref","is-referenced-by-count":21,"title":["Hydrothorax after ventriculoperitoneal shunt placement in a premature infant: an iatrogenic postoperative complication"],"prefix":"10.3171","volume":"88","author":[{"given":"Walter J.","family":"Faillace","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R. Donald","family":"Garrison","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1754","reference":[{"key":"ref221","first-page":"181","article-title":"Thoracic complications of ventriculoperitoneal shunts: case report and review of the literature.","volume":"34","author":"Taub","year":"1994","journal-title":"Neurosurgery"},{"key":"ref91","first-page":"1043","article-title":"Peritonitis and intraabdominal abscess","volume-title":"Surgical Intensive Care.","author":"Rotstein","year":"1993"},{"key":"ref181","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1038\/ki.1973.63","article-title":"The problem of peritoneal membrane area and permeability.","volume":"3","author":"Henderson","year":"1973","journal-title":"Kidney Int"},{"key":"ref201","doi-asserted-by":"crossref","first-page":"144","DOI":"10.3949\/ccjm.61.2.144","article-title":"Right pleural effusion due to a migrating ventriculoperitoneal shunt.","volume":"61","author":"Meeker","year":"1994","journal-title":"Cleveland Clin J Med"},{"key":"ref21","first-page":"274","article-title":"Eccezionale osservazione di idrotorace, ascite liquorale ed idrocele in paziente con derivazione ventricolo-peritoneale.","volume":"42","author":"Ceccotti","year":"1981","journal-title":"Acta Neurol Napo"},{"key":"ref141","first-page":"274","article-title":"Eccezionale osservazione di idrotorace, ascite liquorale ed idrocele in paziente con derivazione ventricolo-peritoneale.","volume":"42","author":"Ceccotti","year":"1981","journal-title":"Acta Neurol Napo"},{"key":"ref151","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/0090-3019(95)80059-P","article-title":"Hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter.","volume":"43","author":"Doh","year":"1995","journal-title":"Surg Neurol"},{"key":"ref191","first-page":"105","article-title":"On the mechanism of absorption of granular material from the peritoneum.","volume":"14","author":"MacCallum","year":"1903","journal-title":"Bull Johns Hopkins Hosp"},{"key":"ref131","first-page":"1","article-title":"The spread of intraperitoneal infection. Studies with roentgen contrast medium.","volume":"36","author":"Autio","year":"1964","journal-title":"Acta Chir Scand"},{"key":"ref121","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1152\/ajplegacy.1959.197.3.551","article-title":"Role of fenestrated basement membrane in lymphatic absorption from the peritoneal cavity.","volume":"197","author":"Allen","year":"1959","journal-title":"Am J Physiol"},{"key":"ref111","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1002\/aja.1001490111","article-title":"Absorption from the peritoneal cavity: SEM study of the mesothelium covering the peritoneal surface of the muscular portion of the diaphragm.","volume":"149","author":"Tsilibary","year":"1977","journal-title":"Am J Anat"},{"key":"ref41","doi-asserted-by":"crossref","first-page":"147","DOI":"10.1007\/BF02020178","article-title":"Ventriculo-peritoneal shunt presenting with recurrent pleural effusion: report of a new complication.","volume":"24","author":"Gupta","year":"1994","journal-title":"Pediatr Radiol"},{"key":"ref171","first-page":"570","article-title":"Effect of intraperitoneal and intravenous vasoactive amines on peritoneal dialysis: study in anephric dogs.","volume":"22","author":"Gutman","year":"1976","journal-title":"Trans Am Soc Artif Intern Organs"},{"key":"ref51","first-page":"570","article-title":"Effect of intraperitoneal and intravenous vasoactive amines on peritoneal dialysis: study in anephric dogs.","volume":"22","author":"Gutman","year":"1976","journal-title":"Trans Am Soc Artif Intern Organs"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"340","DOI":"10.1016\/0090-3019(95)80059-P","article-title":"Hydrothorax from intrathoracic migration of a ventriculoperitoneal shunt catheter.","volume":"43","author":"Doh","year":"1995","journal-title":"Surg Neurol"},{"key":"ref71","first-page":"105","article-title":"On the mechanism of absorption of granular material from the peritoneum.","volume":"14","author":"MacCallum","year":"1903","journal-title":"Bull Johns Hopkins Hosp"},{"key":"ref81","doi-asserted-by":"crossref","first-page":"144","DOI":"10.3949\/ccjm.61.2.144","article-title":"Right pleural effusion due to a migrating ventriculoperitoneal shunt.","volume":"61","author":"Meeker","year":"1994","journal-title":"Cleveland Clin J Med"},{"key":"ref61","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1038\/ki.1973.63","article-title":"The problem of peritoneal membrane area and permeability.","volume":"3","author":"Henderson","year":"1973","journal-title":"Kidney Int"},{"key":"ref231","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1002\/aja.1001490111","article-title":"Absorption from the peritoneal cavity: SEM study of the mesothelium covering the peritoneal surface of the muscular portion of the diaphragm.","volume":"149","author":"Tsilibary","year":"1977","journal-title":"Am J Anat"},{"key":"ref01","doi-asserted-by":"crossref","first-page":"551","DOI":"10.1152\/ajplegacy.1959.197.3.551","article-title":"Role of fenestrated basement membrane in lymphatic absorption from the peritoneal cavity.","volume":"197","author":"Allen","year":"1959","journal-title":"Am J Physiol"},{"key":"ref101","first-page":"181","article-title":"Thoracic complications of ventriculoperitoneal shunts: case report and review of the literature.","volume":"34","author":"Taub","year":"1994","journal-title":"Neurosurgery"},{"key":"ref11","first-page":"1","article-title":"The spread of intraperitoneal infection. 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