Esophageal obstruction after incomplete removal of a percutaneous endoscopic gastrostomy tube.
This two-year-old boy presented with a two-day history of vomiting and fever. He was diagnosed with acute otitis media four days before this incident. Repeated questioning revealed removal of a percutaneous enterostomy tube two weeks earlier with failure to pass the internal bumper in his stool. The child was in no distress, except for repeated emesis and drooling. A chest x-ray revealed a foreign body in the esophagus, and the patient underwent removal of the percutaneous endoscopic gastrostomy plastic bumper by endoscopy without incident.
Kleiner
G I
GI
Department of Pediatrics, Mount Sinai Medical Center, New York, NY 10029, USA.
Vergara
T M
TM
D002675:Child, Preschool; D004947:Esophagus; D005547:Foreign Bodies / Q000175:diagnosis / Q000209:etiology; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D008297:Male; D008487:Medical History Taking