Projectile hematemesis for 2 hours with hypotension in the 70's
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X-Ray demonstrating Minnesota tube with tip overlying stomach. Endotracheal tube in place. Bibasilar opacities are present.
3 case questions available
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.
- 1. Dallal HJ, Palmer KR. Upper gastrointestinal haemorrhage. British Medical Journal. 2001; 323(7321): 1115-1117.
- 2. Nickson C. Sengstaken-Blakemore and Minnesota Tubes. Lifeinthefastlane.com. https://lifeinthefastlane.com/ccc/sengstaken-blakemore-and-minnesota-tubes/. Published November 1, 2016. Accessed October 12, 2017.