Migration of a gastrostomy tube into the kidney

Excerpt

A 6-month-old boy with lissencephaly and complex chromosomal anomalies had a percutaneous gastrostomy tube placed shortly after birth. Three weeks after a surgical gastrostomy tube revision with a Foley-type catheter accompanied by Nissen fundoplication, the patient developed persistent fever. Axial image (Fig. 1) and coronal reconstruction (Fig. 2) from an abdominal CT scan revealed migration of the gastrostomy tube tip into the right kidney. The inflated gastrostomy tube balloon was noted in the descending duodenum. Subsequent fluoroscopy study revealed a contained perforation of the posterior wall of the duodenum. Serum chemistry evaluation confirmed a diagnosis of pancreatitis.

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