title: Accidental small-bowel puncture, and importance of patient positioning, during isotopic peritoneography: a case report.
abstract: 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.
authors.affiliation: Nuclear Medicine Section, Department of Radiology, Marshfield Clinic, Marshfield, Wisconsin 54449, USA. spieth.michael@marshfieldclinic.org
authors.forename: Michael E
authors.initials: ME
authors.lastname: Spieth
mesh_terms: D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging* / Q000209:etiology*; D005260:Female; D006801:Humans; D007263:Infusions, Parenteral / Q000009:adverse effects* / Q000379:methods; D007267:Injections; D007421:Intestine, Small / Q000000981:diagnostic imaging* / Q000293:injuries*; D008875:Middle Aged; D010537:Peritoneum / Q000000981:diagnostic imaging*; D010996:Pleural Effusion / Q000000981:diagnostic imaging; D011187:Posture; D011677:Punctures / Q000379:methods; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin / Q000008:administration & dosage; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging* / Q000209:etiology*
chemical_list: D019275:Radiopharmaceuticals; D013668:Technetium Tc 99m Aggregated Albumin