Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls

Figure 3 Free peritoneal spillage of contrast. A: Lateral radiograph of a 1-year-old with recently exchanged tube. Injected contrast pools in the intraperitoneal cavity (arrowhead) which does not follow the stomach contour with outlining of bowel loops (arrow); B: Frontal radiograph irregular or angular margins of the injected contrast (arrow) (multiple black dots outlining the air filled stomach); C: Frontal radiograph of another 4-year-old boy demonstrates similar extrinsic outlining of bowel loops.