Vp Shunt Chest X Ray

Chest misc trauma lines.

Vp shunt chest x ray. Pneumothorax and subcutaneous emphysema was noted 2 hours later. She returned with respiratory compromise and chest x ray depicted the shunt catheter in the pleural space with an associated pleural effusion and infiltrate. Frontal the shunt tubing is fractured at the level of the upper cervical spine.

The shunt catheter is located in left upper quadrant of abdominal cavity and mild blunting of the left costophrenic angle is observed after initial ventriculoperitoneal shunt b. Ventriculoperitoneal vp shunts are a device used to shunt cerebrospinal fluid in the treatment of hydrocephalus. Vp shunt videos embed.

No respiratory distress was noted. As the name suggests a catheter is placed with its tip in the ventricle. The rest of the shunt tubing in the chest and abdomen is intact.

The 3 images ap pa skull chest abdomen must overlap. The shunt is normal no break in continuity of fracture. The patient fully recovered with intravenous antibiotics thoracentesis and placement of a new shunt system.

Pa skull projection is preferable to reduce dose to the patient s eyes. Case discussion the shunt series in this patient demonstrate a vp shunt disconnection at the level of the lower neck best appreciated on the ap cervical spine view. Frontal view of the cervical spine including a portion of the thoracic vertebrae to ensure overlap with the frontal chest radiograph.

Plain films to cover the entirety of the vp shunt from head to abdomen. Chest exposure factors may make it difficult to appreciate the shunt below the diaphragm this will be covered in the abdominal radiograph. An 82 year old woman underwent a ventriculoperitoneal vp shunt placement to treat hydrocephalus secondary to a right thalamic intracerebral hemorrhage.