Document Detail

Fatal retroperitoneal haemorrhage: an unusual complication of percutaneous endoscopic gastrostomy.
MedLine Citation:
PMID:  11118757     Owner:  NLM     Status:  MEDLINE    
A 93-year-old lady with dementia, neurological dysphagia and aspiration pneumonia, died from massive retroperitoneal haemorrhage which developed as a rare and, it is believed, hitherto unreported, complication of percutaneous endoscopic gastrostomy (PEG), which was performed for feeding purposes. It is postulated that the initial, unsuccessful attempt at needle puncture of the stomach, under endoscopic guidance, had resulted in iatrogenic perforation and laceration of the splenic and superior mesenteric veins close to their confluence with the portal vein. It would also appear that dense fibrous adhesions between the pyloro-antral region of the stomach and the posterior hepatic surface had altered the immediate anatomical relations of the stomach in such a manner as to have predisposed to these events.
G Lau; S H Lai
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Forensic science international     Volume:  116     ISSN:  0379-0738     ISO Abbreviation:  Forensic Sci. Int.     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-01-26     Completed Date:  2001-02-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  7902034     Medline TA:  Forensic Sci Int     Country:  Ireland    
Other Details:
Languages:  eng     Pagination:  69-75     Citation Subset:  IM    
Department of Forensic Medicine, Institute of Science and Forensic Medicine, Outram Road, Singapore 169608, Singapore.
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MeSH Terms
Aged, 80 and over
Blood Loss, Surgical*
Deglutition Disorders / complications,  therapy
Dementia / complications
Fatal Outcome
Forensic Medicine*
Gastroscopy / adverse effects*
Gastrostomy / adverse effects*
Hemoperitoneum / complications,  etiology*
Mesenteric Veins / injuries
Pneumonia / complications
Risk Factors
Splenic Vein / injuries
Stomach / blood supply,  injuries

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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