Intrahepatic delivery of feeds caused by a displaced percutaneous radiological gastrostomy catheter.
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.
Dasari
B V M
BV
Department of Colorectal Surgery, The Royal Hospitals, Belfast BT12 6BA, UK.
Gardiner
K R
KR
Khosraviani
K
K
Ellis
P
P
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