Traumatic nasogastric tube insertion

Case contributed by Dr Brendon Friesen

Presentation

Check position NGT

Patient Data

Age: 60
Gender: Male

Initial radiograph demonstrates malpositioned NGT - right main bronchus, right lower zone laterally outside the field of view.

X-ray

Follow up chest

Subsequent radiograph demonstrates satisfactory NGT within stomach, however a right sided pneumothorax has developed (the pneumothorax is visible on supine projection [right upper zone lung-air interface]; a deep sulcus sign is also suggested).

CT confirms a moderately large right pneumothorax. No pneumomediastinum.

Case Discussion

Pneumothorax complicating NGT insertion.

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Case information

rID: 38172
Case created: 9th Jul 2015
Last edited: 5th May 2016
System: Chest
Inclusion in quiz mode: Included

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