RT Journal Article SR Electronic T1 Accidental Small-Bowel Puncture, and Importance of Patient Positioning, During Isotopic Peritoneography: A Case Report JF Journal of Nuclear Medicine Technology JO J. Nucl. Med. Technol. FD Society of Nuclear Medicine SP 163 OP 164 VO 31 IS 3 A1 Spieth, Michael E. YR 2003 UL http://tech.snmjournals.org/content/31/3/163.abstract 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.