PT  - JOURNAL ARTICLE
AU  - Michael E. Spieth
TI  - Accidental Small-Bowel Puncture, and Importance of Patient Positioning, During Isotopic Peritoneography: A Case Report
DP  - 2003 Sep 01
TA  - Journal of Nuclear Medicine Technology
PG  - 163--164
VI  - 31
IP  - 3
4099  - http://tech.snmjournals.org/content/31/3/163.short
4100  - http://tech.snmjournals.org/content/31/3/163.full
SO  - J. Nucl. Med. Technol.2003 Sep 01; 31
AB  - 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.