Teenager developing a large body mass index due to steroid use who is having problems with their gastrostomy tube feedings

Fluoroscopy of gastrostomy tube tip inside its tract and outside of the stomach
Lateral image of the abdomen is obtained during injection of the gastrostomy tube shows that the gastrostomy tube balloon is outside of the stomach and contrast is flowing along the gastrostomy tube track into the stomach.

The diagnosis was gastrostomy tube malfunction due to the gastrostomy tube being pulled back along its tract as the patient’s body mass index increased and the gastrostomy tube was too short.