Presentation
History of cerebral palsy, epilepsy, failure to thrive and blindness. On gastrostomy feeding tube.
Patient Data
A gastrostomy tube is seen in place. Marked scoliosis in the visualised spine. Diffuse osteopenia in the visualised bony skeleton. Neglected right DDH.
Gastrostomy tube seen on the previous study had been removed. An NGT is seen in place. A metallic density, is seen projecting over the gastric bubble, which is an over-the-scope clip (OTSC). Non-specific bowel gas pattern.
A metallic device is seen along the anterior wall of the stomach, which is an over-the-scope clip (OTSC). An NGT is noted in place. No CT evidence of pulmonary embolism. Scattered patchy consolidative changes in both lungs, particularly more marked in the right lower lobe. Mild right and minimal left pleural effusions. No pericardial effusion, significant mediastinal lymphadenopathy, pneumothorax or pneumomediastinum. Marked scoliosis noted in the visualised spine.
Case Discussion
The patient developed a gastro-cutaneous fistula due to infection of the gastrostomy tube tract. This fistula was managed with an endoscopic over-the-scope clip (OTSC).
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