School ager who recently had their gastrostomy tube replaced and now have abdominal pain with tube feeds

Gastrointestinal
AXR of the tip of the gastrostomy tube in the peritoneal space rather than in the stomach.
AXR AP obtained after the injection of water soluble contrast through the gastrostomy tube shows contrast throughout the peritoneum which is outlining the liver and spleen and pooling in the pelvis. The contrast in the bladder is from a CT exam performed earlier in the day.

The diagnosis was gastrostomy tube malfunction with the tip of the gastrostomy tube in the peritoneal space rather than in the stomach.

Published