Mohd Said M R, Abdul Rani R, Raja Ali R A, Ngiu C S
UKM Medical Centre, Department of Medicine, Gastroenterology Unit, Jalan Yaacob Latiff, 56000 Cheras, Kuala Lumpur, Malaysia.
Universiti Teknologi MARA (UiTM), Department of Medicine, Gastroenterology Unit, Malaysia.
Med J Malaysia. 2017 Feb;72(1):77-79.
Percutaneous Endoscopic Gastrostomy (PEG) tubes were often offered to patients requiring long term enteral feeding. Even though the procedure is relatively safe, it is associated with various complications such as peritonitis or even death.1 We presented a case of a 54-year-old gentleman with underlying ischemic stroke and pus discharges from a recently inserted PEG tube. Computed Topography (CT) scan confirmed abdominal wall necrotising fasciitis complicated with hyperosmolar hyperglycaemia state (HHS) and later succumbed after 48 hours of admission. Our case illustrated the rare complication related to the insertion of PEG tube; abdominal wall necrotising fasciitis that was associated with mortality.
经皮内镜下胃造口术（PEG）管常用于需要长期肠内营养的患者。尽管该手术相对安全，但它会引发各种并发症，如腹膜炎甚至死亡。1我们报告了一例54岁男性患者的病例，该患者患有缺血性中风，近期插入的PEG管出现脓性分泌物。计算机断层扫描（CT）证实为腹壁坏死性筋膜炎，并伴有高渗高血糖状态（HHS），入院48小时后死亡。我们的病例说明了与PEG管插入相关的罕见并发症；腹壁坏死性筋膜炎与死亡率相关。
