Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls

Figure 4 Intraperitoneal leak via the gastrostomy tube tract, 2 month old postoperative day 1 open gastrostomy tube placement. A: Frontal abdominal radiograph with a large amount of pneumoperitoneum (black arrows); B: Frontal projection in a fluoroscopy gastrostomy tube (G-tube) study with a loculated intraperitoneal leak (outlined by white dotes). There is transit of contrast behind the G-tube ballon (star) into the peritoneal leak (arrow); C: G-tube was exchanged in interventional radiology, following which a lateral fluoroscopic image showed the narrowed distance (double arrow) between the disc and ballon with no trickling of contrast behind it.