Weird X-Ray Of The Week
Can anyone tell me what this is? (I’ll post the answer in the comments section).
Film Credit: Dr. Michael Armento
Latest Tweets from @DrVal
History of Vaccines
Better Health: Smart Health Commentary
Featured
Latest Interviews
IDEA Labs: Medical Students Take The Lead In Healthcare Innovation
It’s no secret that doctors are disappointed with the way that the U.S. healthcare system is evolving. Most feel helpless about improving their work conditions or solving technical problems in patient care. Fortunately one young medical student was undeterred by the mountain of disappointment carried by his senior clinician mentors…
How To Be A Successful Patient: Young Doctors Offer Some Advice
I am proud to be a part of the American Resident Project an initiative that promotes the writing of medical students residents and new physicians as they explore ideas for transforming American health care delivery. I recently had the opportunity to interview three of the writing fellows about how to…
Latest Cartoon
Latest Book Reviews
Book Review: Is Empathy Learned By Faking It Till It’s Real?
I m often asked to do book reviews on my blog and I rarely agree to them. This is because it takes me a long time to read a book and then if I don t enjoy it I figure the author would rather me remain silent than publish my…
The Spirit Of The Place: Samuel Shem’s New Book May Depress You
When I was in medical school I read Samuel Shem s House Of God as a right of passage. At the time I found it to be a cynical yet eerily accurate portrayal of the underbelly of academic medicine. I gained comfort from its gallows humor and it made me…
Eat To Save Your Life: Another Half-True Diet Book
I am hesitant to review diet books because they are so often a tangled mess of fact and fiction. Teasing out their truth from falsehood is about as exhausting as delousing a long-haired elementary school student. However after being approached by the authors’ PR agency with the promise of a…
Commented - Most Popular Articles
- Certifiable: CNP, RNCP, RHN, NNCP and Other Suspect “Accreditations”
- Teenage Personal Responsibility: What Is The Motivation To Grow Up?
- Santabetes: How Diabetes Is Like Santa Claus
- Cartoon: Hospital Charges Are Out Of Control
- Dr. Val Goes To BlogHer Conference
- Another ER Animation
- The Friday Funny: Hospital Length Of Stay
- The Friday Funny: The Healthcare Reform Mess
- Doctors And Work-Life Boundaries: Keeping An EMR In Its Place
- Pox Parties: Half-Truths, Anecdotes, And Fear
worm in man
csf shunt displaced in young boy?
I am guessing some type of worm in a baby boy, but that's not exacting how I pictured the large intestines wrapping across the abdomen. So my non-medically trained guess is a worm in the intestines.
Given that the tag on the picture is “vpshunt.jpg”, the tube would indeed appear to be a displaced ventriculoperitoneal (csf to abdominal cavity) shunt. My guess would be that it has migrated into the scrotum via an indirect inguinal hernia.
NG tube laying on abd pre-placement
Thanks for all your smart comments – #1 Dino is the closest to the full story. Congrats, Dino! This is in fact a VP shunt tracking from the brain of a child with spina bifida into the peritoneal cavity, through an inguinal hernia and into the scrotum (which is distended with CSF). The shunt and hernia were repaired soon after the x-ray was taken.
Given that the tag on the picture is “vpshunt.jpg”, the tube would indeed appear to be a displaced ventriculoperitoneal (csf to abdominal cavity) shunt. My guess would be that it has migrated into the scrotum via an indirect inguinal hernia.
NG tube laying on abd pre-placement
Thanks for all your smart comments – #1 Dino is the closest to the full story. Congrats, Dino! This is in fact a VP shunt tracking from the brain of a child with spina bifida into the peritoneal cavity, through an inguinal hernia and into the scrotum (which is distended with CSF). The shunt and hernia were repaired soon after the x-ray was taken.
A plain film X-Ray of lower abdomen
Closure of a Secundum Atrial Septal Defect With a
Septal Occluder via a Transhepatic
Approach in a Small Infant
Drainage tube from hydrocephalus shunt that has perforated the bladder and migrated down into the scrotum?