Stomach Ulcer as a Rare Cause of Pancreatitis: An Unusual Complication of a Displaced Percutaneous Endoscopic Gastrostomy Tube

Abstract

A 33-year-old man was admitted to the hospital with upper abdominal pain and melena. Laboratory tests were suggestive of pancreatitis. Computed tomography (CT) of the abdomen showed peripancreatic fat stranding but showed no free air in the peritoneal cavity. Esophagogastroduodenoscopy (EGD) was performed, which revealed an ulcer on the posterior wall of the stomach, caused by the inner tip of the gastrostomy tube, and which had penetrated the pancreas. He had no signs of peritonitis. The gastrostomy tube was exchanged. The patient recovered well with conservative therapy within days.