Percutaneous Endoscopic Gastrostomy (PEG) feeding tubes are frequently placed in patients to provide enteral nutrition. We report a case of a complete rupture of a PEG tube intra-abdominally with associated peritonitis after more than a month of PEG placement and utilization. To our knowledge, this is a very rare case of a complete PEG rupture with the succeeding replacement and recovery of the fractured segments conservatively. A 69-year-old female with a PEG in position and in use for more than a month started complaining of severe abdominal pain. Digital subtraction angiography (DSA) tubogram revealed rupture and separation of the PEG tube into two fragments. Interventional radiology (IR) team was successful with their conservative approach. Both fragments were removed conservatively without the need for laparotomy. The distal fragment was utilized to place a guide wire, and a new PEG was placed in position with no intraabdominal leak. Ruptured PEG tube should be considered in the differential of patients complaining of sudden abdominal pain, especially after chronic PEG utilization. Conservative approach by IR is a viable option in correcting this mishap.

中文翻译：

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保守恢复和更换破裂的经皮内镜胃造口管；病例报告

经皮内窥镜胃造口术（PEG）饲管经常放置在患者体内以提供肠内营养。我们报道了一个多月的PEG放置和利用后，腹腔内与相关腹膜炎完全破裂的PEG管的情况。据我们所知，这是非常罕见的情况，PEG完全破裂，保守地成功地替换和恢复了破裂的节段。一名PEG就位且使用了一个多月的69岁女性开始抱怨严重的腹痛。数字减影血管造影（DSA）管图显示PEG管破裂和分离成两个片段。介入放射学（IR）团队采用保守方法取得了成功。无需进行剖腹手术即可保守地切除两个碎片。利用远端片段放置导丝，并且将新的PEG放置在没有腹内泄漏的位置。在抱怨突然腹痛的患者中应考虑使用破裂的PEG管，尤其是在长期使用PEG后。IR的保守方法是纠正这一不幸的可行选择。