Infant with hemodynamic instability after gastrojejunostomy tube placement

AXR of pneumoperitoneum due to malposition of gastrojejunostomy tube outside of bowel
Supine AXR (above) shows the tip of the gastrojejunostomy tube extending deep into the pelvis. Left lateral decubitus AXR (below) shows air between the abdominal wall and the liver.

The diagnosis was initial malposition of the gastrojejunostomy tube outside of the bowel. In the operating room a perforation was found in the 4th part of the duodenum.