Misplaced nasogastric tube into the left lung

Case contributed by Dai Roberts
Diagnosis certain

Presentation

Insertion of nasogastric tube. ?position

Patient Data

Age: 65 years
Gender: Female

The tip of the nasogastric tube is in the left lower lobe, which needs to be removed.  Small left pleural effusion and adjacent atelectasis.  The right lung is clear, no right pleural effusion.

Case Discussion

Misplaced nasogastric tubes (NGT) and their subsequent use can have devastating consequences.  Following the course of the trachea and ensuring the NGT tip is below the diagram should be part of the review process when reporting such studies.

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