Malpositioned nasogastric tube in the right main bronchus

Case contributed by Henry Knipe
Diagnosis certain

Presentation

Cough.

Patient Data

Age: 70 years
Gender: Male

Nasogastric tube passes down the right main bronchus and is not in a suitable position for use. In the medial right lower zone is an ill-defined opacity that appears new from previous imaging (not shown) - may represent atelectasis, aspiration or hemorrhage. 

Case Discussion

Complications occur in ~5% (range 0.5-8%) of NGTs. Pulmonary complications should be preventable and manifestations from bronchial placement include:

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