Malpositioned nasojejunal tube

Case contributed by Dr Henry Knipe

Presentation

Post nasojejunal tube insertion in theatre ?position.

Patient Data

Age: 45
Gender: Male
Modality: X-ray

Nasojejunal tube is looped in the stomach and the tip projects over the expected position of the pylorus or first part of the duodenum (to the right of the lumbar spine). Left-sided PICC is appropriately positioned with the tip in the SVC. 

Case Discussion

Nasojejunal tubes (NJT) as the name suggests, should have their tip in the proximal jejunum. Knowledge of normal anatomy is important because the tubing should be seen to follow the contours of the duodenum and pass the expected position of the D-J flexure to ensure its tip is in an appropriate position. 

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Case Information

rID: 30003
Case created: 11th Jul 2014
Last edited: 2nd Sep 2015
Tag: njt
Inclusion in quiz mode: Included

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