Detection of Malpositioned VP Shunt Catheter by Radionuclide CSF Cisternography.


Journal

Clinical nuclear medicine
ISSN: 1536-0229
Titre abrégé: Clin Nucl Med
Pays: United States
ID NLM: 7611109

Informations de publication

Date de publication:
01 Mar 2023
Historique:
entrez: 1 2 2023
pubmed: 2 2 2023
medline: 4 2 2023
Statut: ppublish

Résumé

A 37-year-old man presented with a 2-week history of abdominal pain, headaches, nausea, vomiting, and leukocytosis. Medical history includes congenital hydrocephalus, with a ventriculoperitoneal shunt placed several years ago. Radionuclide cerebrospinal fluid cisternography shows curvilinear activity in the abdomen, in the pattern of small and large bowel loops, suggesting that the tip of the catheter is inside a small bowel loop. No activity is seen in the intraperitoneal compartment. CT of the abdomen and pelvis followed by laparoscopic surgery confirmed the findings.

Identifiants

pubmed: 36723893
doi: 10.1097/RLU.0000000000004525
pii: 00003072-202303000-00027
doi:

Substances chimiques

Radioisotopes 0

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

e110-e111

Informations de copyright

Copyright © 2023 Wolters Kluwer Health, Inc. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of interest and sources of funding: none declared.

Références

Wu Y, Green NL, Wrensch MR, et al. Ventriculoperitoneal shunt complications in California: 1990 to 2000. Neurosurgery . 2007;61:557–562; discussion 562–553.
Reddy GK, Bollam P, Caldito G. Long-term outcomes of ventriculoperitoneal shunt surgery in patients with hydrocephalus. World Neurosurg . 2014;81:404–410.
Ghritlaharey RK, Budhwani KS, Shrivastava DK, et al. Ventriculoperitoneal shunt complications needing shunt revision in children: a review of 5 years of experience with 48 revisions. Afr J Paediatr Surg . 2012;9:32–39.
Simon TD, Hall M, Riva-Cambrin J, et al. Infection rates following initial cerebrospinal fluid shunt placement across pediatric hospitals in the United States. J Neurosurg Pediatr . 2009;4:156–165.
Kulkarni AV, Drake JM, Lamberti-Pasculli M. Cerebrospinal fluid shunt infection: a prospective study of risk factors. J Neurosurg . 2001;94:195–201.
Snow RB, Lavyne MH, Fraser RA. Colonic perforation by ventriculoperitoneal shunts. Surg Neurol . 1986;25:173–177.
Ferreira PR, Bizzi JJ, Amantéa SL. Protrusion of ventriculoperitoneal shunt catheter through the anal orifice. A rare abdominal complication. J Pediatr Surg . 2005;40:1509–1510.
Sathyanarayana S, Wylen EL, Baskaya MK, et al. Spontaneous bowel perforation after ventriculoperitoneal shunt surgery: case report and a review of 45 cases. Surg Neurol . 2000;54:388–396.
Thiong’o GM, Luzzio C, Albright AL. Ventriculoperitoneal shunt perforations of the gastrointestinal tract. J Neurosurg Pediatr . 2015;16:36–41.
Ibrahim AW. E. coli meningitis as an indicator of intestinal perforation by V-P shunt tube. Neurosurg Rev . 1998;21:194–197.
Zhou F, Chen G, Zhang J. Bowel perforation secondary to ventriculoperitoneal shunt: case report and clinical analysis. J Int Med Res . 2007;35:926–929.
Macdonald A, Burrell S. Infrequently performed studies in nuclear medicine: part 2. J Nucl Med Technol . 2009;37:1–13.

Auteurs

Nahyun Jo (N)

From the Division of Nuclear Medicine, Department of Radiology, University of Texas Medical Branch, Galveston, TX.

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Classifications MeSH