Abstract

An 8-year-old boy with cystic fibrosis was admitted to hospital because of recurrent respiratory infection. He was below the 5th percentile for weight, and the Pediatric Gastroenterology Department was consulted for nutritional support. A percutaneous endoscopic gastrostomy (PEG) tube was inserted by standard pull technique (Microvasive, 16F; Boston Scientific Corporation, Natick, Massachusetts, USA). After 4 months, the original gastrostomy tube was removed by traction and replaced by a button device. Two months later, the patient’s parents noticed an abdominal bulging at the PEG site. Physical examination revealed a reducible bulge at the PEG site that became more prominent during cough, which was consistent with ventral hernia ([Fig. 1] a,b).

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