Migration of the ventriculoperitoneal shunt into the thoracic cavity: A case report and pitfalls of the rib structure

Background: Although ventriculoperitoneal shunting (VPS) is a universal treatment for hydrocephalus, it generally well-known that the procedure often has complications. Shunt catheter migration one such complication, but no reports of into thoracic cavity are associated with surgical technique. Herein, I present case shunt alongside anatomical pitfalls rib structure. Case Description: The patient was 62-year-old male diagnosed subarachnoid hemorrhage due to craniocervical junction arteriovenous fistula and underwent direct surgery occlude fistula. We performed VPS secondary hydrocephalus 1 month later. During VPS, peritoneal tunneled subcutaneously over clavicle pass from head abdomen. Several months later, had migrated cavity. A computed tomography scan showed clavicle, penetrated wall through intercostal space between ribs 2, entered Conclusion: When performing not enough send passer skin clavicle; must also be while confirming position tip by touch.