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Loose PEG Tube Leading to Peristomal Leakage and Peritonitis, a Case Report.

作者信息

Au Connie, Myatt Toby

机构信息

University of California, Irvine, Department of Emergency Medicine, Orange, CA.

出版信息

J Educ Teach Emerg Med. 2020 Apr 15;5(2):V7-V10. doi: 10.21980/J8HS7T. eCollection 2020 Apr.

DOI:10.21980/J8HS7T
PMID:37465403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10332566/
Abstract

UNLABELLED

We present the case of a 37-year-old male with history of amyotrophic lateral sclerosis (ALS) and recent percutaneous endoscopic gastrostomy (PEG) tube placement presented with abdominal pain, nausea, vomiting, abdominal distention, tenderness and guarding. Given the concern for peritonitis, upright/decubitus chest X-ray was obtained and showed bilateral free peritoneal air suggesting possible perforation or peristomal leakage after PEG tube placement. While PEG complication rates are relatively low, clinicians should consider them and remember that chest X-ray can be a very efficient and accurate method of evaluation for possible gastrointestinal perforation, especially in acute emergencies.

TOPICS

Abdominal/gastrointestinal, peritonitis, perforation, surgical complication.

摘要

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本文引用的文献

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Management of early PEG tube dislodgement: simultaneous endoscopic closure of gastric wall defect and PEG replacement.早期经皮内镜下胃造口术（PEG）管移位的处理：同时进行内镜下胃壁缺损闭合和PEG管置换
BMJ Case Rep. 2019 Sep 4;12(9):e230728. doi: 10.1136/bcr-2019-230728.
2
Diagnostic value of abdominal free air detection on a plain chest radiograph in the early postoperative period: a prospective study in 648 consecutive patients who have undergone abdominal surgery.腹部游离气腹在腹部手术后早期的平片胸部 X 光诊断价值：对 648 例连续腹部手术患者的前瞻性研究。
J Gastrointest Surg. 2013 Sep;17(9):1673-82. doi: 10.1007/s11605-013-2282-6. Epub 2013 Jul 20.
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Scand J Gastroenterol. 2012 Jun;47(6):737-42. doi: 10.3109/00365521.2012.654404. Epub 2012 Apr 4.
4
Diffuse postoperative peritonitis -- value of diagnostic parameters and impact of early indication for relaparotomy.弥漫性术后腹膜炎--诊断参数的价值和早期剖腹探查指征的影响。
Eur J Med Res. 2009 Nov 3;14(11):491-6. doi: 10.1186/2047-783x-14-11-491.
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Am J Emerg Med. 2009 Mar;27(3):320-7. doi: 10.1016/j.ajem.2008.03.004.
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