Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration

A nonverbal woman with cerebral palsy and a chronic gastrostomy tube presented with nonbilious vomiting of tube feeds and abdominal pain. Initial work-up showed elevated lipase; however, computed tomography imaging revealed duodenal obstruction from gastrostomy tube migration as the cause of her sym...

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Main Authors: Shefali Amin, Parth M. Desai, John F. Altomare
Format: Article
Language:English
Published: American College of Physicians 2023-09-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.0482
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author Shefali Amin
Parth M. Desai
John F. Altomare
author_facet Shefali Amin
Parth M. Desai
John F. Altomare
author_sort Shefali Amin
collection DOAJ
description A nonverbal woman with cerebral palsy and a chronic gastrostomy tube presented with nonbilious vomiting of tube feeds and abdominal pain. Initial work-up showed elevated lipase; however, computed tomography imaging revealed duodenal obstruction from gastrostomy tube migration as the cause of her symptoms. This case represents alternative causes to hyperlipasemia, such as bowel obstruction.
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publisher American College of Physicians
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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-6d8cc889a4b5482da0443ec69a75c60b2025-08-20T03:18:49ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642023-09-012910.7326/aimcc.2023.0482Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube MigrationShefali Amin0Parth M. Desai1John F. Altomare21Department of Internal Medicine, Reading Tower Health, West Reading, Pennsylvania2Division of Gastroenterology, Reading Tower Health, West Reading, Pennsylvania2Division of Gastroenterology, Reading Tower Health, West Reading, PennsylvaniaA nonverbal woman with cerebral palsy and a chronic gastrostomy tube presented with nonbilious vomiting of tube feeds and abdominal pain. Initial work-up showed elevated lipase; however, computed tomography imaging revealed duodenal obstruction from gastrostomy tube migration as the cause of her symptoms. This case represents alternative causes to hyperlipasemia, such as bowel obstruction.https://www.acpjournals.org/doi/10.7326/aimcc.2023.0482
spellingShingle Shefali Amin
Parth M. Desai
John F. Altomare
Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration
Annals of Internal Medicine: Clinical Cases
title Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration
title_full Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration
title_fullStr Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration
title_full_unstemmed Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration
title_short Hyperlipasemia Due to Duodenal Obstruction Secondary to Gastrostomy Tube Migration
title_sort hyperlipasemia due to duodenal obstruction secondary to gastrostomy tube migration
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.0482
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AT johnfaltomare hyperlipasemiaduetoduodenalobstructionsecondarytogastrostomytubemigration