Delayed gastric perforation following nasogastric tube insertion: the pitfalls of radiographic confirmation.
Eddula, Mahesh Vadukul, Prakash Bleasdale, John
Eddula, Mahesh
Vadukul, Prakash
Bleasdale, John
Citations
Altmetric:
Affiliation
Sandwell and West Birmingham NHS Trust
Other Contributors
Publication date
2021-11-17
Collections
Research Projects
Organizational Units
Journal Issue
Abstract
A man in his 70s, admitted to intensive care unit following an out of hospital cardiac arrest, had a nasogastric (NG) tube inserted on admission. Correct placement of the NG tube had been confirmed using National Patient Safety Agency (NPSA) criteria and was used for feeding without incident. He remained intubated and ventilated throughout his stay. On day 9 his oxygen requirements increased with subsequent chest imaging revealing an incidental gastric perforation secondary to NG tube migration. The NG tube was removed intact and undamaged. The patient appeared to improve without sequelae from the perforation or signs of abdominal sepsis. Unfortunately his condition deteriorated due to a large right atrial thrombus and life sustaining treatments were withdrawn.
Citation
Wallbridge T, Eddula M, Vadukul P, Bleasdale J. Delayed gastric perforation following nasogastric tube insertion: the pitfalls of radiographic confirmation. BMJ Case Rep. 2021 Nov 17;14(11):e244824.
Type
Article
Other
Other