Abstract
The peritoneal cavity is widely used as the destination of choice for cerebrospinal fluid (CSF) shunts. Various alternative distal sites have been used, particularly in the presence of certain contraindications, which include the cardiac atria, for ventriculoatrial (VA) shunt, or the pleural cavity for ventriculopleural (VPL) shunt.[1] Each procedure is associated with its own set of complications and the choice of selection of the distal site of CSF drainage is often based on surgeon's preference along with patient's factors.[2] While the historical literature describes pleural effusion and pneumothorax as complications of a VPL shunt, there is paucity of data justifying the application of one technique over the other. We report a rare case of postoperative pneumothorax in a case of VPL shunt being further complicated by pneumocephalus.
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