Minnesota tube

Case contributed by Stanton Royer

Presentation

Projectile hematemesis for 2 hours with hypotension in the 70's

Patient Data

Age: 68
Gender: Male
X-ray

X-Ray demonstrating Minnesota tube with tip overlying stomach. Endotracheal tube in place. Bibasilar opacities are present.

Case Discussion

This patient experienced hemorrhage of esophageal varices as a result of alcoholic cirrhosis. EGD was not possible and tamponade with a Minnesota tube was unsuccessful. Hemostasis was finally achieved with an emergency TIPS procedure and embolization of varix.

Minnesota tubes are similar to Sengstaken-Blakemore tubes except that they feature a fourth lumen used to aspirate esophageal contents. Thus the four lumens are:

  • gastric aspiration port
  • esophageal aspiration port
  • gastric balloon port
  • esophageal balloon port

Case made with the help of Dr Jayanth Keshavamurthy, Medical College of Georgia, Augusta.

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Case information

rID: 56121
Case created: 12th Oct 2017
Last edited: 28th Nov 2017
Inclusion in quiz mode: Included
Institution: Augusta University

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