A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy tube due to mesenteric penetration.
A case of small-bowel obstruction after insertion of a percutaneous endoscopic gastrostomy (PEG) tube is described. At laparotomy, the PEG tube was found to have penetrated the jejunal mesentery at two points, thereby acting as a focus for a volvulus. Direct injury and obstruction to the small bowel have been described but volvulus due to mesenteric penetration has not.
Northern Lincolnshire and Goole NHS Foundation Trust.
J
J
Roos
D000328:Adult; D005774:Gastrostomy / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology* / Q000473:pathology / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery*; D007441:Intubation, Gastrointestinal / Q000009:adverse effects* / Q000295:instrumentation / Q000379:methods; D008297:Male; D008643:Mesentery / Q000293:injuries* / Q000473:pathology / Q000601:surgery
Percutaneous endoscopic gastrostomy; complication; mesenteric penetration, volvulus; small bowel