Infant who has just undergone a gastrostomy tube replacement which was technically difficult

Gastrostomy tube injection of gastromy tube malposition outside of stomach
AP image from a gastrostomy tube injection done with water soluble contrast (left) shows none of the injected contrast conforming to the lumenal contour of the stomach. AXR taken 15 minutes later (right) shows the extravasated contrast diffusing throughout the peritoneum and outlining loops of bowel and being excreted in the bladder.

The diagnosis was malposition of the gastrostomy tube replacement outside of the stomach.