Presentation
Check nasogastric tube position for feeding.
Patient Data
Age: 70 years
Gender: Male
From the case:
Malpositioned nasogastric tube
Frontal
The nasogastric tube is malpositioned. It initially courses into the left main bronchus where it kinks and turns back on itself and then subsequently enters the right main bronchus.
A left-sided PICC line is noted, which is appropriately positioned.
Case Discussion
It is relatively common for nasogastric tubes to be malpositioned, however this case demonstrates a very unusual occurrence of the tube entering first the left, and then the right main bronchus.
The tube was required for feeding purposes and the clinical unit was notified to remove and re-insert it before initiating feeds.