Presentation
Patient recovering from multi-trauma.
Patient Data
Age: 50 years
Gender: Female
From the case:
Nasogastric tube in bronchus
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The NGT has been advanced down the left main bronchus with the tip in the left lower lobe bronchus (position corrected on subsequent imaging). A loop of the NGT as also protruded into the right bain bronchus.
Right-sided PICC remains in position. Bilateral lower to mid zone air space opacities. No large pleural effusions.
Case Discussion
As anyone who has inserted nasogastric tubes will tell you, it can be tricky to know where it has gone. Clearly administering medications or liquid food before checking would be a very bad idea.