Endobronchial nasogastric tube

Case contributed by Dr Derek Smith

Presentation

Dysphagic following stroke. No aspirate gained from NG tube.

Patient Data

Age: 80 years
Gender: Female
X-ray

AP.

Nasogastric tube inserted far into the right lower lobe bronchus, advanced to the costophrenic recess.

No pneumothorax or lung complication.

Case Discussion

This is a prime example of the importance of a structured review for NG tube placement.

This tube appears to "bisect" the carina and the tip projects well below the diaphragm, but it does not cross the diaphragm in the midline and instead has followed the right lower lobe bronchus down about as far as it can go!

Tube removed and successfully replaced under fluoroscopic guidance.

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Case information

rID: 68336
Published: 26th May 2019
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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