2026-10-10T17:59:09Z https://api.figshare.com/v2/oai

oai:figshare.com:article/34041753 2026-10-01T09:17:30Z category_7 portal_147 item_type_3 month_year_10_2026

Supplemental Material for: Minimally Invasive Management of Transverse Colon Transfixation Following Percutaneous Endoscopic Gastrostomy – a Case Report figshare admin karger (2628495) José Pedro Santos (25155589) Francisca Rosas (25155591) Maria João Alves (9444002) Joana R. Rodrigues Gaspar (25155595) Pedro Brandão, L.G. (18471087) Isabel Mesquita (5738147) Medicine Medicine <p dir="ltr">Background: Percutaneous endoscopic gastrostomy (PEG) is widely used for long-term enteral nutrition in patients with impaired swallowing. Although generally safe, inadvertent transcolonic misplacement is a rare but potentially serious complication, resulting from interposition of the transverse colon between the gastric wall and the abdominal wall during blind puncture. We describe the minimally invasive surgical management of a through-and-through transverse colon injury following PEG placement.</p><p dir="ltr">Case Presentation: We report the case of a 69-year-old woman with bulbar-onset amyotrophic lateral sclerosis, tetraparesis, dysphagia and atrial fibrillation who underwent PEG placement using the "pull technique". On postprocedural day five, she developed fever, peri-ostomal cellulitis and rising inflammatory markers. Computed tomography revealed correct intragastric PEG position but interposition and partial transfixation of the transverse colon between the stomach and the abdominal wall. The patient underwent diagnostic laparoscopy that confirmed transcolonic PEG placement without intra-abdominal contamination. The tube was removed, both colonic defects were repaired laparoscopically, and a new surgical gastrostomy was fashioned under direct visualization. The patient resumed enteral feeding on postoperative day one and was discharged in stable condition after completing antibiotic therapy.</p><p dir="ltr">Conclusion: Transcolonic PEG misplacement is an uncommon but significant complication that should be considered in patients with atypical postprocedural evolution. Early diagnosis with cross-sectional imaging and a minimally invasive surgical approach allow safe management while preserving enteral access and preventing further morbidity.</p> 2026-10-01T09:17:30Z Dataset Dataset 10.6084/m9.figshare.34041753.v1 https://figshare.com/articles/dataset/Supplemental_Material_for_Minimally_Invasive_Management_of_Transverse_Colon_Transfixation_Following_Percutaneous_Endoscopic_Gastrostomy_a_Case_Report/34041753 CC BY 4.0