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Small bowel obstruction in a woman with a missing percutaneous endoscopic gastrostomy tube
  1. Avinoam Nevler1,2,
  2. Moshe Zilberman3
  1. 1Department of General Surgery and Transplantation, Chaim Sheba Medical Center, Tel-Hashomer, Israel (Affiliated to the Sackler School of Medicine, Tel-Aviv University, Tel-Aviv, Israel)
  2. 2The Dr. Pinchas Borenstein Talpiot Medical Leadership Program 2012, Chaim Sheba Medical Center, Tel-Hashomer, Israel
  3. 3Department of General Surgery, The Baruch Padeh Medical Center, Poria, Lower Galilee, Israel
  1. Correspondence to Dr Avinoam Nevler, Department of General Surgery B, Chaim Sheba Medical Center, Tel-Hashomer 52621, Israel; Dr.Nevy{at}Gmail.com

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Case description

An 87-year-old bedridden, demented woman who was enterally fed via a percutaneous endoscopic gastrostomy (PEG) tube presented to the ED with vomiting, abdominal pain and fever (38.3°C), and a surgical consult was requested from the senior surgical resident. The patient had been referred to the emergency department 3 days earlier due to a missing PEG tube. …

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