Imaging of pediatric gastrostomy tube malposition: Pearls and pitfalls

Figure 7 Buried bumper syndrome. A 5-year-old kid presented with drainage and pain at the gastrostomy tube (G-tube) site. A and B: Contrast abdominal radiography shows contrast filling the stomach and small bowel without extravasation. However, the balloon is not well seen; C: A local site ultrasound revealed G-tube balloon in the anterior abdominal wall along the tract outside of the stomach; D: A follow up fluoroscopy shows delineation of the inflated balloon which lies in the anterior abdominal wall (curved arrow); E: A different case demonstrates a deformed G-tube balloon (arrowhead) in the anterior abdominal wall.