Misplaced endotracheal tube

Case contributed by Fernando Frias Vizcarra
Diagnosis certain

Presentation

Preterm with respiratory distress syndrome

Patient Data

Age: 20 days
Gender: Male
x-ray

Note how the airway is free of tubes and the topography of the esophagus shows the endotracheal cannula and the passage of the enteral tube. The esophagus is distended and there is a mass effect and narrowing of the upper airway. 

Left PICC line is in correct position; Right PICC line is in right atrium.

Symmetrical diffuse reticulonodular opacities are see . There's a subtle consolidation in right upper lobe with air bronchograms associated.

Case Discussion

The diagnosis was confirmed by the attending physicians and the endotracheal cannula repositioned.

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