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Learning from errors
Colonic injury following percutaneous endoscopic-guided gastrostomy insertion
  1. Jawad Ahmad,
  2. Stacey Thomson,
  3. Branden McFall,
  4. Julie Scoffield,
  5. Mark Taylor
  1. Surgery, Mater Hospital Belfast, Belfast, UK
  1. Correspondence to Jawad Ahmad, jawad.ahmad{at}hotmail.co.uk

Summary

Percutaneous endoscopic gastrostomy (PEG) is a common practice usually offered to patients who are unable to tolerate or swallow oral feed and require long-term nutrition.

We present a case of early pneumoperitoneum after a PEG placement due to colonic perforation. The patient was severely malnourished and had a medical history of brain injury, cerebrovascular accident cerebrovascular accident (CVA) and bilateral below knee amputations from a bomb blast 13 years ago.

The PEG tube was placed under sedation. On the first postoperative day, the patient had a subtle pneumoperitoneum that was considered secondary to the procedure. On the third postoperative day, the patient became tachycardiac with abdominal distension. A CT scan showed the PEG tube traversing through the transverse colon.

The patient underwent a laparotomy and repair of colonic injury and made an uneventful recovery.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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