Asymptomatic Thoracic Migration of a Ventriculoperitoneal Shunt: A Case Report

Hydrocephalus is often treated with CSF diversion via ventriculoperitoneal (VP) shunting. We present the unique case of a 33-year-old female with a history of infiltrating astrocytoma and consequent obstructive hydrocephalus necessitating shunt placement. She later presented with non-specific symptoms prompting shunt evaluation. Ultimately, while a cause for her symptoms was not identified, imaging revealed distal catheter migration into the pleural space. The patient remained asymptomatic during two years of follow-up without surgical intervention. This case highlights the potential for asymptomatic distal catheter migration after VP shunt placement and underscores the importance of appropriate monitoring and management once such migration is detected.