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Rare disease
Case report
A left-sided cerebrospinal fluid hydrothorax and a right ventricular-peritoneal shunt: a unique clinical case study
  1. David Hopkins,
  2. Stewart Pattman,
  3. Rhian Jones and
  4. Avinash Aujayeb
  1. Northumbria Healthcare NHS Foundation Trust, North Shields, UK
  1. Correspondence to Dr Avinash Aujayeb, avinash.aujayeb{at}nhct.nhs.uk

Abstract

We describe the case of a 84-year-old woman with a right ventricular-peritoneal shunt and a left-sided pleural effusion, the analysis of which was positive for cerebrospinal fluid. We consider the potential causative mechanisms. Our patient was managed conservatively due to her frailty, the effusion being asymptomatic and her preference not to pursue further invasive diagnostic testing. This case report is unique due to the contralateral nature of the effusion to the shunt, which has not been described before in the literature.

  • neurosurgery
  • respiratory medicine

https://doi.org/10.1136/bcr-2019-230236

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    Footnotes

    • Contributors AA and DH wrote the initial manuscript. RJ and SP added specific extra sections in the discussion and revised the manuscript. All authors agreed on the final version.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.