Accidental Small-Bowel Puncture, and Importance of Patient Positioning, During Isotopic Peritoneography: A Case Report

Journal of Nuclear Medicine Technology

Michael E. Spieth¹ 

[1] Nuclear Medicine Section, Department of Radiology, Marshfield Clinic, Marshfield, Wisconsin Nuclear Medicine Section, Department of Radiology, Marshfield Clinic, Marshfield, Wisconsin Nuclear Medicine Section, Department of Radiology, Marshfield Clinic, Marshfield, Wisconsin

关键词: peritoneal shunt;    pleural effusion;    ^99mTc-macroaggregated albumin;    diaphragmatic leak;   

DOI  :  

学科分类：医学（综合）

来源: Society of Nuclear Medicine

【 摘 要 】

A 47-y-old woman with chronic liver disease, who had previously undergone placement of a peritoneal venous shunt without ascites, presented with a chronic right pleural effusion. The first attempt at radionuclide injection resulted in an accidental small-bowel injection with consequent intraalimentarily induced nuclear small-bowel followthrough. I have not read of this interesting complication in the literature. She did not have a bowel obstruction. A repeated study 2 d later demonstrated an obstructed peritoneal shunt and right hemidiaphragmatic pleural leak best seen with the patient upright.

【 授权许可】

Unknown