title: Splenic Avulsion Following PEG Tube Placement: A Rare but Serious Complication.
abstract: Placement of a percutaneous endoscopic gastrostomy (PEG) tube is a common procedure to allow for enteral nutrition in patients with multiple indications. PEG tube placement is a safe procedure with minor complications such as site infection and irritation. One of the more severe complications is splenic laceration, which may result in intra-peritoneal bleeding and manifest as an acute abdomen. We present a rare case of intra-abdominal bleeding secondary to catastrophic splenic injury 12 hours after PEG tube placement resulting in hemodynamic compromise. The patient underwent splenectomy and had an uneventful recovery.
authors.affiliation: Division of Digestive Diseases and Nutrition, University of South Florida, Tampa, FL ; Department of Gastroenterology, James A. Haley Veteran's Administration, Tampa, FL.
authors.forename: Brijesh B
authors.initials: BB
authors.lastname: Patel
authors.affiliation: Division of Digestive Diseases and Nutrition, University of South Florida, Tampa, FL ; Department of Gastroenterology, James A. Haley Veteran's Administration, Tampa, FL.
authors.forename: Christian
authors.initials: C
authors.lastname: Andrade
authors.affiliation: Division of Digestive Diseases and Nutrition, University of South Florida, Tampa, FL ; Department of Gastroenterology, James A. Haley Veteran's Administration, Tampa, FL.
authors.forename: Vignesh
authors.initials: V
authors.lastname: Doraiswamy
authors.affiliation: Division of Digestive Diseases and Nutrition, University of South Florida, Tampa, FL ; Department of Gastroenterology, James A. Haley Veteran's Administration, Tampa, FL.
authors.forename: Donald
authors.initials: D
authors.lastname: Amodeo