Pediatr Gastroenterol Hepatol Nutr.  2014 Jun;17(2):112-115.

Duodenal Perforation: Unusual Complication of Gastrostomy Tube Replacement

• Kim SH
• Min SH
• Kim HY
• Jung SE

Abstract

Feeding gastrostomy is widely used for children with feeding impairment. The replacement of gastrostomy tube is known as an easy and safe procedure. However, various complications associated with replacement of gastrostomy tube were reported, including fistula disruption and colo-cutaneous fistula. For replacement of gastrostomy tube in small children with small stomach, special cautions are needed. Here, we report a rare case of duodenal perforation as an acute complication after the replacement of gastrostomy tube for a 33-month-old girl.

Keyword

Gastrostomy; Replacement; Duodenal perforation; Child

MeSH Terms

Child
Child, Preschool
Female
Fistula
Gastrostomy*
Humans
Stomach

Figure

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  Fig. 1 Fluoroscopic image showed a leakage of contrast, injected via replaced gastrostomy tube, to peritoneal cavity (arrow).

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  Fig. 2 Operative finding. The first portion of duodenum was perforated (arrowheads).

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