PMC3288174_01
CT scan revealing extraluminal jejunal tube extension (short arrow) and air in the mesentery (long arrow).
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F1
PMC3288174_02
CT scan revealing extraluminal jejunal tube extension (short arrow) and contrast in the mesentery (long arrow).
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F2
Eleven days after surgery, and 23 days after the PEG-Jejunal tube placement, the patient had a worsening clinical status leading to a CT scan. (Figure 2) Extravasation of contrast was visualized from the jejunal tube into the peritoneal cavity.
PMC3288174_03
CT scan revealing intraluminal contrast (short arrow) and the jejunal extension tube perforating the small bowel with the tip intraperitoneally (long arrow). Large quantities of intraperitoneal fluid collection is visualized (asterisks), expectedly tube feeds.
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F3
A CT scan revealed erosion of the jejunal extension tube through the wall of the jejunum. (Figure 3) He underwent an exploratory laparotomy revealing the end of the jejunal tube extraluminally, having perforated the proximal jejunum, which was without signs of ischemia or necrosis.