Limited Utility of Plain Abdominal Radiographs in Evaluating Intussusceptions Secondary to Long Indwelling Feeding Tubes
A 73-year-old male with numerous prior abdominal surgeries for bladder adenocarcinoma developed poor nutritional status in a nursing home facility. Patient initially had a gastrostomy tube, which then became subject to “buried bumper syndrome” with overgrowing gastric mucosa and subsequently received a percutaneous jejunostomy tube for nutritional purposes. Patient presented with abdominal pain and had a portable supine abdominal radiograph [], which showed presence of a percutaneous feeding jejunostomy catheter without significant bowel dilatation. Due to persistent patient discomfort, a CT scan of the abdomen and pelvis was performed with introduction of bowel contrast via jejunostomy tube [Figure –]. This showed a long segment intussusception over with the jejunostomy tube acting as the lead point [, black arrow indicating tip of J tube]. This feeding tube was a 9 French Kimberly-Clark jejunostomy feeding tube. This patient also had the feeding tube subsequently removed via surgery.