Vijayakrishnan R, Adhikari D, Anand CP. Recurrent tense pneumoperitoneum due to air influx via abdominal wall stoma of a PEG tube. World J Radiol 2010; 2(7): 280-282 [PMID: 21160668 DOI: 10.4329/wjr.v2.i7.280]
Corresponding Author of This Article
Curuchi P Anand, MD, Division of Gastroenterology, Department of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, United States. curuchi.anand@stvincenthospital.com
Article-Type of This Article
Case Report
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World J Radiol. Jul 28, 2010; 2(7): 280-282 Published online Jul 28, 2010. doi: 10.4329/wjr.v2.i7.280
Recurrent tense pneumoperitoneum due to air influx via abdominal wall stoma of a PEG tube
Rajakrishnan Vijayakrishnan, Deep Adhikari, Curuchi P Anand
Rajakrishnan Vijayakrishnan, Deep Adhikari, Department of Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States
Curuchi P Anand, Division of Gastroenterology, Department of Medicine, Saint Vincent Hospital, Worcester, MA 01608, United States
Author contributions: Vijayakrishnan R, Adhikari D and Anand CP contributed equally to this case report; Vijayakrishnan R and Ashikari D dit the data assimilation; Vijayakrishnan R wrote the case report; Anand CP critically reviewed the work.
Correspondence to: Curuchi P Anand, MD, Division of Gastroenterology, Department of Medicine, Saint Vincent Hospital, 123 Summer Street, Worcester, MA 01608, United States. curuchi.anand@stvincenthospital.com
Telephone: +1-508-7559650 Fax: +1-508-3639798
Received: May 18, 2010 Revised: June 8, 2010 Accepted: June 15, 2010 Published online: July 28, 2010
Abstract
A 70 years old male on ventilatory and circulatory support for sepsis and non ST segment elevation myocardial infarction developed abdominal distension 14 d after placement of a percutaneous endoscopic gastrostomy tube for enteral feeding. Radiography revealed free air in the abdomen and gastrograffin (G) study showed no extravasation into the peritoneum. The G tube was successfully repositioned with mechanical release of air. Imaging showed complete elimination of free air but the patient had a recurrence of pneumoperitoneum. Mechanical release of air with sealing of the abdominal wound was performed. Later, the patient was restarted on tube feeding with no complications. This case demonstrates a late complication of pneumoperitoneum with air leakage from the abdominal wall stoma.
