Transhepatic Insertion of Percutaneous Endoscopic Gastrostomy Tube

Case Rep Gastrointest Med. 2020 Feb 12:2020:4516032. doi: 10.1155/2020/4516032. eCollection 2020.


Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared complication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication which may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive bleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a case of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the previous reported cases.

Publication types

  • Case Reports