[A patient with visceromegaly: risk factor for performing percutaneous endoscopic gastrostomy. A clinical case]. / Paciente con visceromegalia: situación de riesgo en la realización de una gastrostomía endoscópica percutánea. Caso clinico.

Percutaneous endoscopic gastrostomy is an easy and safe technique to provide an enteral access for patients needing long-term enteral nutrition. Minor complications may occur in 9% to 13% of patients. Life-threatening complications appear in 1-3% of cases. Perforation of a hollow viscus leading to peritonitis is a rare condition; hepatic perforation after placing a percutaneous endoscopic gastrostomy (PEG) has not been reported previously. In patients with massive visceromegaly an abdominal ultrasound may help in localizing the place of punction avoiding surrounding organs.