Presentation
Patient with an MCA stroke. NGT inserted for enteral feeding.
Patient Data
Age: 70 years
Gender: Female
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Weighted nasogastric tube is malpositioned and follows the right main bronchus, projecting into the right lower lung zone.
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Nasogastric tube repositioned with its tip projecting over the expected location of the stomach.
Case Discussion
This case nicely demonstrates one of the feared complications of nasogastric tube (NGT) insertion, malposition. Here, an NGT was found lying within the distal right main bronchus on a check chest X-ray (CXR). The medical team was informed at the time of reporting and the NGT was removed and re-inserted.
This case highlights the importance of a CXR to confirm positioning of NGT prior to enteral feeding.
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