Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls

Figure 5 Gastric outlet obstruction secondary to gastrostomy tube ballon. A: Frontal; B: Lateral. A 2 year old presented with increased abdominal distension, gagging and reflux from gastrostomy tube (G-tube). Portable radiographs, frontal and lateral after contrast administration revealed retention of contrast in an overdistended stomach (arrowhead) with the G-tube balloon in the distal stomach (arrow). Obstruction was later relieved after the balloon (arrow) was deflated and the tube was exchanged.