This is the first such case considered in ...

A few reported cases of subcutaneous emphysema occurring after hastrostomiya placing tubes were connected adults [,,,

]. Most cases occurred 4-7 days after placement of percutaneous endoscopic hastrostomu. Various explanations >> << to this unusual complication have been proposed. Subcutaneous emphysema was due to mechanical events during the insertion tube. In one case, 66-year-old man

developed subcutaneous emphysema of moderate pneumoperitoneum after 4 days of receipt of radiologically placed tubes

[

]. Although contrast studies showed that the tube is in correct position, leakage of hydrochloric acid the stomach was noted

on site 3 days, and it was found that the tube was drawn into the subcutaneous tissues. Authors

suggested that the tube periodically migrate because of external fixation device was removed, they

assume that the pressure gradient between the lumen of the intestine (60 cm H

O) went to the gas subcutaneous tissue when nonepithelialized tract is present. Other [

] recommended to keep the opening patulous skin during insertion to gas leakage. In another study [

] is not recommended linking stomach too tightly to the abdominal wall, as it can lead to pressure necrosis, causing

tracking of gas in the subcutaneous region. Perforation of bowel loop during insertion may also result lasix without prescription in

pneumoperitoneum and subcutaneous emphysema following. Infection should be excluded as a cause in patients with subcutaneous emphysema, especially when it is accompanied by signs of toxicity

such as fever, leukocytosis, purulent drainage at hastrostomiya site or peritonitis. Infections

gas producing organisms, necrotizing fastsyyt, and subcutaneous abscess formation after it was reported hastrostomiya placing pipes

[,,

]. Specific host factors involved also contributed to the development of subcutaneous emphysema. In one case, a woman >> << with amyotrophic lateral sclerosis was respiratory arrest after placing hastrostomu [

]. There was difficulty of her airway, and it was esophageal intubation. As a result of forced air

svizhoukladenyy pipes, vents gastric cavity, she developed subcutaneous emphysema. Another patient developed a gastric overdistention

after placement on a respirator [

]. This report describes the first time to our knowledge, subcutaneous emphysema in pediatric patients after radiological

Download hastrostomu. Subcutaneous emphysema has been described previously in adults, and so smart >> << conclude that this could happen in children. This is the first such case found in a hospital for sick children, despite the

Download over 1500 pipes interventional radiologists (Connolly B, personal communication). Various factors may

played a role in the development of subcutaneous emphysema in our patient. The child was mentally retarded,

have convulsions and hypertension, and vomited as a result of reflux, which put him at risk for tube migration. Maybe

, if the tube was marked and externally fixed, we could detect the migration easier. Our patient initially treated tubes as in the right position on the X-rays and a CT scan, but the immediate subsequent fluoroscopy showed

leak of contrast material in the subcutaneous tissues. This is consistent with the intermittent movement of the pipe

in and out of routes. In addition, tension on the suture storage and stomach reel in an attempt to save

short tract, possibly resulting in excessive pressure on the tissue. Our patient was very irritable and crying a lot, >> << causes swelling of the stomach through pneumophagia. More aggressive nasogastric suction and pain may reduce the size

developing pneumoperitoneum. Gastrostomy feeding is a widely accepted means of providing enteral nutrition to patients unable to meet their calorie intake >> << orally. As a result hastrostomiya placement, our patient had a prolonged hospital stay, search

fastsiotomiya numerous investigations, and eventually left without a pipe. This case serves as a reminder of what is readily available, minimally invasive radiologically placed tubes is not without complications. .