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Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion
CASE PRESENTATION: A 48-year-old-female presented to the emergency department with dislodgement of her percutaneous endoscopic gastrostomy (PEG) tube, necessitating bedside replacement. Replacement was done without difficulty and gastrografin radiography was obtained to confirm positioning. Radiogra...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676793/ https://www.ncbi.nlm.nih.gov/pubmed/33217293 http://dx.doi.org/10.5811/cpcem.2020.7.48335 |
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author | Warner, Matthew Durrani, Muhammad |
author_facet | Warner, Matthew Durrani, Muhammad |
author_sort | Warner, Matthew |
collection | PubMed |
description | CASE PRESENTATION: A 48-year-old-female presented to the emergency department with dislodgement of her percutaneous endoscopic gastrostomy (PEG) tube, necessitating bedside replacement. Replacement was done without difficulty and gastrografin radiography was obtained to confirm positioning. Radiography revealed contrast filling the colon at the splenic flexure and proximal descending colon suggestive of colocutaneous fistula formation. DISCUSSION: The patient required hospitalization with surgical consultation, initiation of parenteral nutrition, and conservative management of the fistula with surgical replacement of the PEG tube. Although rare, it is paramount for the emergency physician to be aware of this complication when undertaking bedside replacement of PEG tubes. |
format | Online Article Text |
id | pubmed-7676793 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine |
record_format | MEDLINE/PubMed |
spelling | pubmed-76767932020-11-24 Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion Warner, Matthew Durrani, Muhammad Clin Pract Cases Emerg Med Images in Emergency Medicine CASE PRESENTATION: A 48-year-old-female presented to the emergency department with dislodgement of her percutaneous endoscopic gastrostomy (PEG) tube, necessitating bedside replacement. Replacement was done without difficulty and gastrografin radiography was obtained to confirm positioning. Radiography revealed contrast filling the colon at the splenic flexure and proximal descending colon suggestive of colocutaneous fistula formation. DISCUSSION: The patient required hospitalization with surgical consultation, initiation of parenteral nutrition, and conservative management of the fistula with surgical replacement of the PEG tube. Although rare, it is paramount for the emergency physician to be aware of this complication when undertaking bedside replacement of PEG tubes. University of California Irvine, Department of Emergency Medicine publishing Western Journal of Emergency Medicine 2020-10-05 /pmc/articles/PMC7676793/ /pubmed/33217293 http://dx.doi.org/10.5811/cpcem.2020.7.48335 Text en Copyright: © 2020 Warner et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed in accordance with the terms of the Creative Commons Attribution (CC BY 4.0) License. See: http://creativecommons.org/licenses/by/4.0/ |
spellingShingle | Images in Emergency Medicine Warner, Matthew Durrani, Muhammad Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion |
title | Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion |
title_full | Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion |
title_fullStr | Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion |
title_full_unstemmed | Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion |
title_short | Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion |
title_sort | colocutaneous fistula after percutaneous endoscopic gastrostomy (peg) tube insertion |
topic | Images in Emergency Medicine |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676793/ https://www.ncbi.nlm.nih.gov/pubmed/33217293 http://dx.doi.org/10.5811/cpcem.2020.7.48335 |
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