case_images: PMC10695460_01
case_images: (a) Abdominal radiographs after lumboperitoneal shunt (LPS) showing correct placement of the distal catheter. (b) Four months postoperatively, abdominal radiographs showed the presence of an LPS distal catheter in the right inguinal hernia sac (white arrow).
case_images: SNI-14-392-g001.jpg
case_images: PMC10695460_01_SNI-14-392-g001.jpg
case_images: F1
case_images: No immediate complications were observed, and postoperative abdominal radiography confirmed the correct placement of the distal catheter [Figure 1a]. Abdominal radiography and computed tomography (CT) revealed an LPS distal catheter in his right inguinal hernia sac with ascites [Figures 1b and 2].
case_images: Abdominal computed tomography showing the presence of a lumboperitoneal shunt distal catheter in the right inguinal hernia sac with ascites (white arrow). (a: Axial slice, b: Sagittal slice).
case_images: SNI-14-392-g002.jpg
case_images: PMC10695460_01_SNI-14-392-g002.jpg
case_images: F2
case_images: Abdominal radiography and computed tomography (CT) revealed an LPS distal catheter in his right inguinal hernia sac with ascites [Figures 1b and 2].
case_images: Two weeks later, abdominal ragiograph showed a distal catheter inthe intraperitoneal space.
case_images: SNI-14-392-g003.jpg
case_images: PMC10695460_01_SNI-14-392-g003.jpg
case_images: F3
case_images: Two weeks later, an abdominal radiograph showed a distal catheter in the correct position [Figure 3].
case_images: PMC10695460_02
case_images: (a) Shunt angiography showing obstruction of the lumbar catheter. (b) Shunt angiography showing deviation of the distal catheter into the inguinal hernia sac with contrast (white arrow).
case_images: SNI-14-392-g004.jpg
case_images: PMC10695460_02_SNI-14-392-g004.jpg
case_images: F4
case_images: Suspecting LPS failure, shunt angiography was performed, which showed an obstruction of the lumbar catheter and deviation of the distal catheter into the inguinal hernia sac [Figure 4].
case_images: (a) Three-dimensional computed tomography after lumbar catheter reconstruction showing a deviated abdominal catheter in the right inguinal hernia sac. The green structure showing the shunt system. (b) Abdominal radiography on the day after surgery showed a distal catheter in the intraperitoneal space.
case_images: SNI-14-392-g005.jpg
case_images: PMC10695460_02_SNI-14-392-g005.jpg
case_images: F5
case_images: Immediate postoperative three-dimensional CT showed a deviated abdominal catheter in the right inguinal hernia sac [Figure 5a]; however, the distal catheter was in the correct position on abdominal radiography the day after the operation [Figure 5b] and 3 months later.