{"title":"A rare cause of pleural effusion","authors":"Jenny L. Bacon, Sasiharan Sithamparanathan","doi":"10.1016/j.rmedc.2011.01.002","DOIUrl":null,"url":null,"abstract":"<div><p>A 35-year-old lady presented with left sided pleuritic chest pain. A chest radiograph revealed a small left pleural effusion. She had a ventriculo-peritoneal (VP) shunt placed age 8, for spina bifida complicated by hydrocephalus, and was wheelchair bound but otherwise well. The pleural effusion grew asymptomatically but rapidly over the 3 days after admission to reach a complete white out of her left hemithorax. Preliminary investigations did not identify a cause for her pleural effusion but a CT scan revealed intrapleural tracking of her left VP shunt, ending intraperitoneal. Pleural fluid was positive for beta-2-transferrin, diagnostic for VP shunt leakage.</p><p>Thoracic complications of VP shunts, other causes of cerebrospinal fluid pleural leak and the underlying pathophysiology in this case are discussed.</p></div>","PeriodicalId":89478,"journal":{"name":"Respiratory medicine CME","volume":"4 3","pages":"Pages 124-125"},"PeriodicalIF":0.0000,"publicationDate":"2011-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rmedc.2011.01.002","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Respiratory medicine CME","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1755001711000030","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
A 35-year-old lady presented with left sided pleuritic chest pain. A chest radiograph revealed a small left pleural effusion. She had a ventriculo-peritoneal (VP) shunt placed age 8, for spina bifida complicated by hydrocephalus, and was wheelchair bound but otherwise well. The pleural effusion grew asymptomatically but rapidly over the 3 days after admission to reach a complete white out of her left hemithorax. Preliminary investigations did not identify a cause for her pleural effusion but a CT scan revealed intrapleural tracking of her left VP shunt, ending intraperitoneal. Pleural fluid was positive for beta-2-transferrin, diagnostic for VP shunt leakage.
Thoracic complications of VP shunts, other causes of cerebrospinal fluid pleural leak and the underlying pathophysiology in this case are discussed.
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