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...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
eScholarship Publishing, University of California
2020-11-01
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| Series: | Clinical Practice and Cases in Emergency Medicine |
| Online Access: | https://escholarship.org/uc/item/4fr5n1tg |
| _version_ | 1819207134430101504 |
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| author | Matthew Warner Muhammad Durrani |
| author_facet | Matthew Warner Muhammad Durrani |
| author_sort | Matthew Warner |
| collection | DOAJ |
| 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. |
| first_indexed | 2024-12-23T05:18:40Z |
| format | Article |
| id | doaj.art-4ccc43d7c98b4c289867348f55bbe0c1 |
| institution | Directory Open Access Journal |
| issn | 2474-252X |
| language | English |
| last_indexed | 2024-12-23T05:18:40Z |
| publishDate | 2020-11-01 |
| publisher | eScholarship Publishing, University of California |
| record_format | Article |
| series | Clinical Practice and Cases in Emergency Medicine |
| spelling | doaj.art-4ccc43d7c98b4c289867348f55bbe0c12022-12-21T17:58:46ZengeScholarship Publishing, University of CaliforniaClinical Practice and Cases in Emergency Medicine2474-252X2020-11-014410.5811/cpcem.2020.7.48335cpcem-04-632Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube InsertionMatthew WarnerMuhammad DurraniCase 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.https://escholarship.org/uc/item/4fr5n1tg |
| spellingShingle | Matthew Warner Muhammad Durrani Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion Clinical Practice and Cases in Emergency Medicine |
| 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 |
| url | https://escholarship.org/uc/item/4fr5n1tg |
| work_keys_str_mv | AT matthewwarner colocutaneousfistulaafterpercutaneousendoscopicgastrostomypegtubeinsertion AT muhammaddurrani colocutaneousfistulaafterpercutaneousendoscopicgastrostomypegtubeinsertion |