Related Experiment Videos
Rectus sheath hematoma complicating percutaneous endoscopic gastrostomy
Eroboghene E Ubogu1, Osama O Zaidat
1Neurocritical Care Division, Department of Neurology, Case Western Reserve University School of Medicine, University Hospitals of Cleveland, OH 44106-5040, USA. eeubogu@excite.com
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
|December 24, 2002
Summary
A rare rectus sheath hematoma complication occurred after percutaneous endoscopic gastrostomy. Early recognition and nonsurgical management were key for patient hemodynamic stability.
Area of Science:
- Gastroenterology
- Surgical Complications
- Vascular Injury
Background:
- Percutaneous endoscopic gastrostomy (PEG) is a common procedure for enteral feeding.
- Complications, though infrequent, can arise and require prompt recognition.
Observation:
- A case of rectus sheath hematoma (RSH) developed early post-PEG placement.
- The patient experienced significant hemodynamic compromise.
Findings:
- The most probable cause of the RSH was intraoperative injury to the superior epigastric artery.
- Nonsurgical interventions successfully stabilized the patient's hemodynamics.
Implications:
- Rectus sheath hematoma is an uncommon but serious complication of PEG.
- Clinicians should consider RSH in patients with hemodynamic compromise post-gastrostomy.