Malpositioned nasogastric tube

Case contributed by Sarmad Aslam
Diagnosis certain

Presentation

Nasogastric feeding tube insertion. Check position.

Patient Data

Age: 25 years
Gender: Female
x-ray

Port-a-catheter. Left internal jugular line.

The tip of the nasogastric tube passes down the right main bronchus with the tip in the distal right lower lobe.

Bilateral interstitial change in both lungs.

x-ray

Port-a-catheter. Left internal jugular line.

The nasogastric tube has been repositioned and now is suitably sited with the tip in the stomach.

Bilateral interstitial change in both lungs.

Case Discussion

The initial nasogastric tube position was deep in the right lung, which was then reinserted and correctly positioned with the tip in the stomach.

The lung changes are due to cystic fibrosis.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.