Intrahepatic delivery of feeds caused by a displaced percutaneous radiological gastrostomy catheter

Percutaneous radiological gastrostomy (PRG) is a safe and accepted method of providing enteral nutrition in those with inadequate oral intake. We report a case of PRG that required laparotomy for intrahepatic displacement of a catheter that had been placed inadvertently through the liver under fluor...

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Bibliographic Details
Published in:British journal of radiology 2009-03, Vol.82 (975), p.e48-e50
Main Authors: Dasari, B V M, Gardiner, K R, Khosraviani, K, Ellis, P
Format: Article
Language:English
Subjects:
Catheterization - adverse effects
Diagnostic Imaging
Enteral Nutrition - instrumentation
Enteral Nutrition - methods
Female
Gastrostomy - instrumentation
Humans
Laparotomy - methods
Liver - injuries
Malnutrition - therapy
Medical Errors - adverse effects
Middle Aged
Radiography, Interventional
Reoperation
Treatment Outcome
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Summary:Percutaneous radiological gastrostomy (PRG) is a safe and accepted method of providing enteral nutrition in those with inadequate oral intake. We report a case of PRG that required laparotomy for intrahepatic displacement of a catheter that had been placed inadvertently through the liver under fluoroscopic guidance. Additional ultrasound or CT guidance may help to define a safe tract to avoid liver or colonic injury. Although transhepatic placement is reported to be well tolerated, this case raises concerns of additional morbidity associated with intrahepatic displacement.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr/94184347