Syringo-Pleural Shunt: A Rare Cause of Recurrent Pleural Effusion Article Swipe

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Medicine Thoracentesis Pleural effusion Syringomyelia Radiology Shunt (medical) Pleural disease Parenchyma Thoracoscopy Shunting Effusion Pleurisy Malignancy Respiratory disease Lung Surgery Magnetic resonance imaging Pathology Internal medicine

Pralhad Prabhudesai , Ashish Prakash , B.S. Shastri ·

YOU? · · 2022 · Open Access · · DOI: https://doi.org/10.5005/ijcdas-58-2-135 · OA: W3025168053

case of a patient with reported spinal tuberculosis (TB) that developed syringomyelia, a rare sequelae of the disease is presented in this report. He underwent syringo-pleural shunting for syringomyelia. After 15 years, the patient presented with recurrent pleural effusion. Diagnostic thoracentesis revealed fluid of transudative nature. Pleural fluid was positive for beta-2 transferrin. Pleural biopsy was negative for any malignancy or TB. Computed tomography scan focusing on the shunt showed that it was undisplaced. Video-assisted thoracoscopic exploration showed the distal tip of the shunt adherent to the lung parenchyma. The effusion resolved after the dislodgement of distal tip from lung parenchyma.