Work

Key findings and the importance of tangential views in gastrostomy tube evaluation: a rare case of a malpositioned gastrostomy tube within the anterior abdominal wall after surgical placement

Year: 2025

Type: article

Abstract: Gastrostomy tube placement is a commonly performed procedure that is generally well tolerated with limited complications. Despite its relatively low complication rate, early displacement or malpositioning of the gastrostomy tube is sometimes encountered. Expedited identification of malpositioning is paramount to avoid intraperitoneal feeds and resulting peritonitis, maturation of the wayward gastrostomy tube tract, as well as other comorbidities. Herein, we present a case of a pediatric patient with a malpositioned gastrostomy tube with the entirety of the tube located within the anterior abdominal wall subcutaneous soft tissues, a very rare location. A battery of radiographic studies was necessary to confirm the location of the malpositioned tube and to help guide surgical management in this complex patient. Importantly, this case highlights the necessity of tangential imaging planes, and the key findings needed to confirm a normally placed gastrostomy tube.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.10.086

Authors: Richard T. Roden, Paul G. Thacker

Institution: Mayo Clinic

Language: English

Topic: Clinical Nutrition and Gastroenterology

Subfield: Nutrition and Dietetics

Field: Nursing

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600