Abstract
We describe the CT findings in an initially asymptomatic boy aged 2 years 9 months with a gastrocolic fistula following percutaneous endoscopic gastrostomy (PEG) placement. The findings consisted of an unusual configuration of the gastrostomy tubing on an abdominal radiograph and upper gastrointestinal study indicating the possibility of transcolic PEG placement, which was confirmed with limited section CT. This well-known and major complication following a common procedure may be recognized on plain abdominal radiography, but it has not to our knowledge been documented previously on CT in a child.
Similar content being viewed by others
References
Zissin R, Konikoff F, Gayer G (2006) CT findings of iatrogenic complications following gastrointestinal endoluminal procedures. Semin Ultrasound CT MR 27:126–138
Nicholson FB, Korman MG, Richardson MA (2000) Percutaneous endoscopic gastrostomy a review of indications, complications and outcome. J Gastroenterol Hepatol 15:21–25
Patwardhan N, McHugh K, Drake D et al (2004) Gastroenteric fistula complicating percutaneous endoscopic gastrostomy. J Pediatr Surg 39:561–564
Kimber C, Beasley S (1999) Limitations of percutaneous endoscopic gastrostomy in facilitating enteral nutrition in children: review of the shortcomings of a new technique. J Paediatr Child Health 35:427–431
Kaye RD, Sane SS, Towbin RB (2000) Pediatric intervention: an update – part I. J Vasc Interv Radiol 11:683–697
Cory DA, Fitzgerald JF, Cohen MD (1988) Percutaneous non-endoscopic gastrostomy in children. AJR 151:995–997
Sanchez RB, van Sonnenberg E, D’Agostino HB et al (1992) CT guidance for percutaneous gastrostomy and gastroenterostomy. Radiology 184:201–205
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Brown, S., McHugh, K., Ledermann, S. et al. CT findings in gastrocolic fistula following percutaneous endoscopic gastrostomy. Pediatr Radiol 37, 229–231 (2007). https://doi.org/10.1007/s00247-006-0373-1
Received:
Revised:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00247-006-0373-1