Figure 4.

Coronal multiplanar CT reconstruction showing (a) internal bumper migration into the duodenum and (b, c) multiple jejunal fistulas caused by migration of the jejunal extension. This severe adverse event occurred 14 months after percutaneous endoscopic gastrostomy and jejunal tube (PEG-J) placement. The patient presented to the emergency room with abdominal pain, nausea and vomiting. The patient required surgical treatment with intestinal resection and re-anastomosis; follow-up was favourable but PEG-J had to be definitely removed.