Conservative recovery and replacement of a ruptured percutaneous endoscopic gastrostomy tube; a case report.

Abstract:

BACKGROUND:Percutaneous Endoscopic Gastrostomy (PEG) feeding tubes are frequently placed in patients to provide enteral nutrition. We report a case of a complete rupture of a PEG tube intra-abdominally with associated peritonitis after more than a month of PEG placement and utilization. To our knowledge, this is a very rare case of a complete PEG rupture with the succeeding replacement and recovery of the fractured segments conservatively. CASE PRESENTATION:A 69-year-old female with a PEG in position and in use for more than a month started complaining of severe abdominal pain. Digital subtraction angiography (DSA) tubogram revealed rupture and separation of the PEG tube into two fragments. Interventional radiology (IR) team was successful with their conservative approach. Both fragments were removed conservatively without the need for laparotomy. The distal fragment was utilized to place a guide wire, and a new PEG was placed in position with no intraabdominal leak. CONCLUSION:Ruptured PEG tube should be considered in the differential of patients complaining of sudden abdominal pain, especially after chronic PEG utilization. Conservative approach by IR is a viable option in correcting this mishap.

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Al Halabi M,Wakim W,Moukaddam H,Husari A

doi

10.1186/s12876-020-01218-x

subject

Has Abstract

pub_date

2020-03-30 00:00:00

pages

82

issue

1

issn

1471-230X

pii

10.1186/s12876-020-01218-x

journal_volume

20

pub_type

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