A Case of Subcutaneous Emphysema Following Percutaneous Endoscopic Gastrostomy.
- Author:
Gwang Il SEO
1
;
Jeong Rok LEE
;
Woo Chul CHUNG
;
Ju Huyn OAK
;
Jin Dong KIM
;
Chang Nyol PAIK
;
Kang Moon LEE
;
Jin Mo YANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Suwon, Korea. rock9316@catholic.ac.kr
- Publication Type:Case Report
- Keywords:
Percutaneous endoscopic gastrostomy;
Subcutaneous emphysema;
Hemoperitoneum
- MeSH:
Deglutition;
Emphysema;
Enteral Nutrition;
Fasciitis, Necrotizing;
Gastrostomy;
Hemoperitoneum;
Hemorrhage;
Humans;
Peritonitis;
Pneumonia, Aspiration;
Subcutaneous Emphysema;
Wound Infection
- From:Korean Journal of Gastrointestinal Endoscopy
2009;38(5):266-269
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Percutaneous endoscopic gastrostomy (PEG) has widely accepted for providing safe, long-term enteral nutrition for patients with swallowing disabilities. Though safe and technically simple, this procedure is often associated with some complications, such as wound infection, bleeding, stroma leaks and tube transposition. Major complications are rare and these include aspiration pneumonia, perforations, peritonitis and necrotizing fasciitis. We report here on a patient who developed extensive subcutaneous emphysema with hemoperitoneum and peritonitis following PEG. Medical treatment without removal of the PEG led to resolution of the emphysema and the peritonitis and successful PEG feeding.
