PMC5449579_01
PMC5449579_02
Frontal radiograph, initially interpreted as negative for discontinuity, demonstrating superimposition of shunt catheter and gastrostomy tube.
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F1
After magnetic resonance imaging demonstrated increased ventricular caliber, an x-ray shunt series was obtained (Figure 1).
PMC5449579_03
Three-dimensional reconstruction of the CT demonstrating direct perforation of the ventriculoperitoneal shunt tube by the gastrostomy tube on an oblique view. The arrow demonstrates the puncture site.
CG-CGCR170042F002.jpg
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F2
CT with three-dimensional reconstruction demonstrated perforation of the shunt tubing by the gastrostomy (Figure 2).