title: Intrahepatic delivery of feeds caused by a displaced percutaneous radiological gastrostomy catheter.
abstract: Percutaneous radiological gastrostomy (PRG) is a safe and accepted method of providing enteral nutrition in those with inadequate oral intake. We report a case of PRG that required laparotomy for intrahepatic displacement of a catheter that had been placed inadvertently through the liver under fluoroscopic guidance. Additional ultrasound or CT guidance may help to define a safe tract to avoid liver or colonic injury. Although transhepatic placement is reported to be well tolerated, this case raises concerns of additional morbidity associated with intrahepatic displacement.
authors.affiliation: Department of Colorectal Surgery, The Royal Hospitals, Belfast BT12 6BA, UK.
authors.forename: B V M
authors.initials: BV
authors.lastname: Dasari
authors.forename: K R
authors.initials: KR
authors.lastname: Gardiner
authors.forename: K
authors.initials: K
authors.lastname: Khosraviani
authors.forename: P
authors.initials: P
authors.lastname: Ellis
mesh_terms: D002404:Catheterization / Q000009:adverse effects*; D003952:Diagnostic Imaging; D004750:Enteral Nutrition / Q000295:instrumentation* / Q000379:methods; D005260:Female; D005774:Gastrostomy / Q000295:instrumentation*; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008099:Liver / Q000293:injuries*; D044342:Malnutrition / Q000628:therapy; D019300:Medical Errors / Q000009:adverse effects; D008875:Middle Aged; D015641:Radiography, Interventional; D012086:Reoperation; D016896:Treatment Outcome