Percutaneous endoscopic gastrostomy tube replacement: A simple procedure?

Figure 1 Patient (A 60-year-old woman) developed sudden abdominal pain immediately after percutaneous endoscopic gastrostomy tube replacement. Fluoroscopy of the upper abdomen demonstrated the leakage of water-soluble contrast from a disc-tip gastrostomy tube into the peritoneal cavity (figure courtesy of Dr. Asada Methasate and Dr. Cherdsak Iramaneerat).