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Surgery
False impression of a ventriculoperitoneal shunt catheter fracture in a stitched X-ray image
  1. Rebecca Hodnett1,2,
  2. Desire Gihana Ngoga1,
  3. Richard J Edwards1 and
  4. William G B Singleton1
  1. 1 Bristol Royal Hospital for Children, Bristol, UK
  2. 2 Southmead Hospital, NHS North Bristol NHS Trust, Bristol, UK
  1. Correspondence to Rebecca Hodnett; rebecca.hodnett@nbt.nhs.uk

Abstract

Radiological ‘stitching’ can be used on plain X-ray images to combine several images and is often used in scoliosis for the visualisation of the whole spine. However, for those unaccustomed to radiological stitching, interpretation of these images requires caution as artefacts can be generated of surrounding structures in their processing stage. As described in this report, it is not uncommon for children with neurological diseases to have both neurosurgical pathology and scoliosis. Here we describe the appearance of a ventriculoperitoneal shunt fracture from a stitched image.

  • Neurosurgery
  • Radiology

https://doi.org/10.1136/bcr-2024-264312

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    Footnotes

    • Contributors The following authors were responsible for drafting of the text, sourcing and editing of clinical images, investigation results, drawing original diagrams and algorithms, and critical revision for important intellectual content: RH. The following authors gave final approval of the manuscript: DGN, WGBS and RJE. Guarantor : RH.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.