Rectus sheath hematoma complicating percutaneous endoscopic gastrostomy

Surg Laparosc Endosc Percutan Tech. 2002 Dec;12(6):430-2. doi: 10.1097/00129689-200212000-00008.


A case is reported of a rectus sheath hematoma occurring as an early consequence of percutaneous endoscopic gastrostomy with hemodynamic compromise. The most likely etiology is damage to the superior epigastric artery intraoperatively. Nonsurgical methods were used to achieve hemodynamic stability. This case illustrates an uncommon complication of gastrostomy tube placement that should be considered early postoperatively for patients with hemodynamic compromise.

Publication types

  • Case Reports

MeSH terms

  • Endoscopy, Digestive System*
  • Enteral Nutrition
  • Female
  • Gastrointestinal Hemorrhage / diagnostic imaging
  • Gastrointestinal Hemorrhage / etiology*
  • Gastrostomy / adverse effects*
  • Gastrostomy / methods
  • Hematoma / diagnostic imaging
  • Hematoma / etiology*
  • Hemodynamics
  • Humans
  • Middle Aged
  • Rectal Diseases / diagnostic imaging
  • Rectal Diseases / etiology*
  • Tomography, X-Ray Computed