Malpositioned nasogastric tube

Case contributed by Leonardo Lustosa


Nasogastric tube (NGT) positioning confirmation.

Patient Data

Age: 20 years
Gender: Male

The nasogastric tube is malpositioned. It coils below the diaphragm and then ascends the esophagus.


Control after repositioning shows the NGT now correctly placed.

Annotated image

Annotated images showing the outline of the tubes on the radiographs performed.

Case Discussion

A correctly placed nasogastric tube should:

  1. go down the midline

  2. bisect the carina

  3. cross the diaphragm

  4. have its tip below the left hemidiaphragm

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