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Images in emergency medicine
Small bowel obstruction in a woman with a missing percutaneous endoscopic gastrostomy tube
  1. Avinoam Nevler1,2,
  2. Moshe Zilberman3
  1. 1 Department 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. 2 The Dr. Pinchas Borenstein Talpiot Medical Leadership Program 2012, Chaim Sheba Medical Center, Tel-Hashomer, Israel
  3. 3 Department 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}

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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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  • Contributors AN and MZ looked after the patient and wrote the draft. Both authors approved the submission of the manuscript.

  • Competing interests None.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.