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Pneumoperitoneum After Jejunostomy Tube Placement Managed by Needle Decompression: A Case Report
Khalid Al Shamousi1, Masoud Salim Kashoob2, Jawahir Lal3
1Gastroenterology Unit, Department of Medicine, Sultan Qaboos University Hospital and College of Medicine and Health Sciences, Sultan Qaboos University, Muscat, OMN.
Cureus
|September 27, 2023
Summary
Percutaneous endoscopic jejunostomy (PEJ) placement can cause rare but serious complications like tension pneumoperitoneum. Prompt recognition and intervention are crucial to prevent adverse outcomes such as bowel ischemia.
Area of Science:
- Gastroenterology
- Endoscopic Procedures
Background:
- Percutaneous endoscopic feeding tube placement, including PEJ, is vital for nutritional support in patients unable to eat orally.
- While generally safe, PEJ procedures carry risks of complications such as bleeding, infection, aspiration, and pneumoperitoneum.
Observation:
- A case report details a 20-year-old male with multiple medical issues undergoing PEJ placement.
- The patient experienced post-procedure bowel distension and subsequently developed tension pneumoperitoneum.
Findings:
- Tension pneumoperitoneum, a rare complication of PEJ, was successfully treated with bedside needle decompression.
- This complication was associated with significant bowel distension.
Implications:
- Highlights the importance of vigilance for rare complications during PEJ procedures.
- Emphasizes the need for prompt diagnosis and management of tension pneumoperitoneum to avoid severe consequences like bowel ischemia.
- Underscores the critical role of early intervention in managing endoscopic procedure-related complications.
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