Detection of Malpositioned VP Shunt Catheter by Radionuclide CSF Cisternography

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 activit...

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Bibliographic Details
Published in:Clinical nuclear medicine 2023-03, Vol.48 (3), p.e110-e111
Main Authors: Jo, Nahyun, Edhayan, Gautam, Owji, Shahin, Villanueva-Meyer, Javier, Bhargava, Peeyush
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Pain
Adult
Catheters
Humans
Hydrocephalus - diagnostic imaging
Hydrocephalus - surgery
Male
Radioisotopes
Ventriculoperitoneal Shunt - adverse effects
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Summary: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.
ISSN:0363-9762
1536-0229
DOI:10.1097/RLU.0000000000004525