Imam Zaid, Simons-Linares C Roberto
Department of Internal Medicine, William Beaumont Hospital, Royal Oak, MI, USA.
Gastroenterology and Hepatology Department, Digestive Diseases Institute, Cleveland Clinic, Cleveland, OH, USA.
Case Rep Gastrointest Med. 2020 Feb 12;2020:4516032. doi: 10.1155/2020/4516032. eCollection 2020.
Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a case of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the previous reported cases.
经皮内镜下胃造口术（PEG）置管过程中对介入器官的意外损伤是这种常见且通常安全的手术令人担忧的并发症。经肝PEG插入术可能是一种未被充分认识的并发症，可能在影像学检查中偶然发现，或表现为败血症或大出血等危及生命的情况。对已知肝肿大的患者使用超声可能有助于避免这种并发症。我们在此报告一例经肝PEG插入术病例，这是文献中仅有的另外16例报道病例之一，并回顾先前报道病例的特征。
