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Gastric pneumatosis secondary to an intramural feeding catheter
1Department of Medical Imaging, Alfred I. du Pont Institute, Wilmington, Delaware.
Pediatric Radiology
|January 1, 1988
Insights
Radiographic signs like gastric pneumatosis indicate incorrect feeding tube placement in neonates. Conservative management led to the infant's full recovery, highlighting a non-surgical approach for this condition.
Area of Science:
- Neonatal radiology
- Pediatric gastroenterology
- Medical device complications
Background:
- Feeding tubes are crucial for neonatal nutrition.
- Malplacement can lead to serious complications.
- Accurate diagnosis of malplacement is essential.
Observation:
- Radiographs revealed gastric pneumatosis.
- An abnormal course of the feeding catheter was noted.
- These findings suggested mural placement within the stomach wall.
Findings:
- Gastric pneumatosis and abnormal catheter course are reliable radiographic indicators of mural feeding catheter placement in neonates.
- Conservative management was successful in resolving the complication.
Implications:
- Early recognition of these radiographic signs can prevent surgical intervention.
- Conservative management is a viable option for neonates with mural feeding tube placement.
- This case underscores the importance of vigilant radiographic assessment of feeding tube placement.
Abstract:
Gastric pneumatosis and abnormal catheter course are presented as radiographic signs of mural placement of a feeding catheter in a neonate's stomach. The uneventful recovery of the child occurred with conservative management.