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Scintigraphic Findings in Cerebrospinal Fluid Ascites Complicating a Ventriculoperitoneal Shunt

PHILLIPS, W. EUGENE II M.D.; BURKE, GEORGE J. M.D.

Clinical Nuclear Medicine:
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Abstract

Patients with a ventriculoperitoneal shunt placed for therapeutic relief of increased intracranial pressure are known to have abdominal complications including cerebrospinal ascites. More common complications are mechanical malfunction due to tip occlusion by fibroid encasement or omental clogging. Other complications include infection, cerebrospinal pseudocysts and loculations, intestinal obstruction secondary to adhesions, perforation of viscera, and migration of shunt. The shuntogram in an 18-year-old woman with a myelomen-ingocele, Chiari II malformation showed a large nonloculated fluid collection in the peritoneum. Analysis of the ascitic fluid verified cerebrospinal fluid.

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From the Department of Radiology, Medical College of Georgia, Augusta, Georgia

Received for publication May 23, 1995; accepted June 29, 1995.

Reprint requests: W. Eugene Phillips II, M.D., Medical College of Georgia, Department of Radiology, 1120 15th Street—BAN 153 Augusta, GA 30912-3900.

© Lippincott-Raven Publishers