Gastrocolic Fistula After Percutaneous Endoscopic Gastrostomy

摘要

A 64-year-old man was admitted to a hospital for aspiration pneumonia. He had had a prior cardiovascular accident (CVA) with dense right hemiplegia, aphasia, and dysphagia requiring tube feeding. History. The patient's percutaneous endoscopic gastrostomy (PEG) tube had been placed the previous month at another hospital. Two days after PEG tube placement, the patient developed a fever (temperature, 38.9°C). Blood culture test and urinalysis results at that time were negative for infection, a chest radiograph was clear, and abdominal computed tomography (CT) findings were unremarkable. The source of his fever remained unknown; accordingly, no antibiotics were started. He subsequently was discharged after spontaneous defervescence.