Teenager who had a difficult cecostomy tube exchange and now has pain with use of the cecostomy tube

Gastrointestinal
Cecostomy tube injection showing cecostomy tube in the retroperitoneum
AXR AP (left) shows the cecostomy tube lying medial in position to the cecum. AP image during injection of water soluble contrast through the cecostomy tube (above right) shows opacification of the retroperitoneum rather than the cecum. After the cecostomy tube was removed and replaced, an AP image during injection of water soluble contrast through the new cecostomy tube (below right) shows opacification of the cecum.

The diagnosis was cecostomy tube malfunction with the tip of the cecostomy tube in the retroperitoneum.

Published