PMC5363334_01
A 10-year-old girl with spina bifida aperta. The hydrocephalus was corrected with a ventriculoperitoneal shunt (VPS). The girl died after the shunt had migrated into the jejunum and had caused bowel ischemia, perforation, and peritonitis. The postmortem computed tomography(A) and the autopsy image (B) show the VPS in intraluminal jejunal location.
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This was confirmed at autopsy, which also discovered that the entry of the VPS was in the proximal jejunum and the perforation in the distal jejunum; further necrotic bowel walls and extensive peritonitis (Fig. 3).
PMC5363334_02
An 8-year-old girl died of peritonitis after malpositioning of a gastrostomy feeding tube into the peritoneal cavity. The postmortem computed tomography demonstrates the balloon of the MIC-KEY just outside the stomach (arrow).
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The CT demonstrated a malposition of the MIC-KEY just outside the stomach, with extensive intraperitoneal free gas and fluid with high radiodensity suggestive of perforation and leakage of enteral feeding and peritonitis. (Fig. 4) Autopsy confirmed these findings as well as a perforation in the skin-to-stomach fistula.