Percutaneous Endoscopic Gastrostomy (PEG) is increasingly being used in the pediatric population. We report a case of a 5-year-old boy who is fully PEG-fed that presented with a 2-day history of vomiting and diarrhea. His vomiting resolved however, the diarrhea remained persistent and watery with occasional undigested milk. His blood and stool investigation results were unremarkable however contrast study through the gastrostomy revealed migration of tube into the transverse colon. Laparoscopy was then performed for fistula resection and a new gastrostomy tube was inserted. Gastrostomy tube migration in children is not well-documented and this complication should be thought about when pediatricians are presented with a case of refractory diarrhea in PEG-fed patients.
