Murray Timothy E, Lee Michael J
Department of Radiology, Beaumont Hospital, P.O. Box 1297, Beaumont Road, Dublin 9, Ireland.
Royal College of Surgeons in Ireland, St Stephen's Green, Dublin, Ireland.
Radiol Case Rep. 2017 Aug 16;12(4):772-774. doi: 10.1016/j.radcr.2017.07.009. eCollection 2017 Dec.
Rigid inflatable gastrostomy (RIG) tubes are widely used in contemporary clinical practice for a variety of indications. Insertion of RIG tubes is associated with a high technical success rate and low incidence of mortality. In this case report, a procedural pitfall associated with intraperitoneal-extragastric malposition is described. Rigorous assessment of abdominal radiographs, as well as awareness of the expected appearance of the RIG tube and gastropexy T-fasteners, allows the abdominal radiologist to detect early RIG position in the early postprocedural period. Abdominal radiography is a widely available and inexpensive technique. The high spatial resolution it provides makes it a valuable tool in determining hardware position.
刚性可充气胃造口术（RIG）管在当代临床实践中因多种适应证而被广泛使用。RIG管置入术具有较高的技术成功率和较低的死亡率。在本病例报告中，描述了一种与腹腔内-胃外错位相关的操作陷阱。对腹部X线片进行严格评估，以及了解RIG管和胃固定T形钉的预期外观，可使腹部放射科医生在术后早期检测到RIG管的早期位置。腹部X线摄影是一种广泛可用且成本低廉的技术。它提供的高空间分辨率使其成为确定硬件位置的宝贵工具。
