A Pediatric Radiology Textbook and Pediatric Radiology Digital Library
Pediatric Cecostomy Tube Malfunction
Etiology: Placed in patients who require regular antegrade enemas for treatment of constipation
Imaging: Correct position of the cecostomy tube tip should be in the cecum of the colon
DDX:
Complications: — Malposition of cecostomy tube tip outside of the cecum — Migration of cecostomy tube tip outside of the cecum
Treatment: Repositioning or replacement of cecostomy tube
Clinical:
Radiology Cases of Cecostomy Tube Malfunction
Radiology Cases of Cecostomy Tube Tip In the Cecum
AXR AP (left) shows the coiled cecostomy tube tip projecting over the right lower quadrant over what appears to be the cecum. AP image obtained after injecting the cecostomy tube with water-soluble contrast (right) shows the cecostomy tube tip is located in the cecum.
Radiology Cases of Cecostomy Tube Tip Outside of Cecum
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.
