Inadvertent injury to interposing organs during percutaneous endoscopic gastrostomy (PEG) tube placement is a feared\ncomplication of this common and generally safe procedure. Transhepatic PEG insertion is likely an underrepresented complication\nwhich may be identified incidentally on imaging or present with life-threatening conditions such as sepsis or massive\nbleeding. Use of ultrasound in patients with known hepatomegaly may possibly help avoid this complication. We hereby report a\ncase of transhepatic PEG insertion, one of 16 only other cases published in the literature, and review the characteristics of the\nprevious reported cases.
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