{"pk":927,"title":"Colocutaneous Fistula after Percutaneous Endoscopic Gastrostomy (PEG) Tube Insertion","subtitle":null,"abstract":"Case Presentation:\n A 48-year-old-female presented to the emergency department with dislodgement of her percutaneous endoscopic gastrostomy (PEG) tube, necessitating bedside replacement. Replacement was done without difficulty and gastrografin radiography was obtained to confirm positioning. Radiography revealed contrast filling the colon at the splenic flexure and proximal descending colon suggestive of colocutaneous fistula formation.\nDiscussion:\n The patient required hospitalization with surgical consultation, initiation of parenteral nutrition, and conservative management of the fistula with surgical replacement of the PEG tube. Although rare, it is paramount for the emergency physician to be aware of this complication when undertaking bedside replacement of PEG tubes.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Colocutaneous fistula"},{"word":"percutaneous endoscopic gastrostomy"},{"word":"parenteral nutrition"}],"section":"Images in Emergency Medicine","is_remote":true,"remote_url":"https://escholarship.org/uc/item/4fr5n1tg","frozenauthors":[{"first_name":"Matthew","middle_name":"","last_name":"Warner","name_suffix":"","institution":"Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey","department":"None"},{"first_name":"Muhammad","middle_name":"","last_name":"Durrani","name_suffix":"","institution":"Inspira Medical Center, Department of Emergency Medicine, Vineland, New Jersey","department":"None"}],"date_submitted":"2020-10-06T01:00:58+02:00","date_accepted":"2020-10-06T01:00:58+02:00","date_published":"2020-10-06T01:01:46+02:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/927/galley/675/download/"}]}