The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation
Nasogastric tube placement is frequently performed in various medical settings. While generally deemed safe in patients without risk factors, complications may occur due to malposition, justifying the need of systematic confirmation of position with chest radiographs. We present the case of a critic...
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| Format: | Article |
| Language: | English |
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Elsevier
2025-02-01
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| Series: | Radiology Case Reports |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043324012585 |
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| author | Anass Benomar, MD, MSc, FRCPC Rui-Ning Gong, MD An Ni Wu, MD Michele Khayat, MD Hamza Laref, DMD, MD Marc-Jacques Dubois, MD, FRCPC Pierre Bourgouin, MD, FRCPC Patrick P. Bourgouin, MD, FRCPC |
| author_facet | Anass Benomar, MD, MSc, FRCPC Rui-Ning Gong, MD An Ni Wu, MD Michele Khayat, MD Hamza Laref, DMD, MD Marc-Jacques Dubois, MD, FRCPC Pierre Bourgouin, MD, FRCPC Patrick P. Bourgouin, MD, FRCPC |
| author_sort | Anass Benomar, MD, MSc, FRCPC |
| collection | DOAJ |
| description | Nasogastric tube placement is frequently performed in various medical settings. While generally deemed safe in patients without risk factors, complications may occur due to malposition, justifying the need of systematic confirmation of position with chest radiographs. We present the case of a critically ill male adult patient for whom the tube position was initially deemed very unusual on postinsertion radiographs, prompting further workup which ultimately confirmed an oropharyngeal perforation with a left parapharyngeal, left visceral, retrotracheal, and right retrodiaphragmatic course, and resulting in a recurrent pneumothorax and empyema treated by surgical decortication. |
| format | Article |
| id | doaj-art-37eab5b24a7b4f3b85cd3a61501a5ef8 |
| institution | Kabale University |
| issn | 1930-0433 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj-art-37eab5b24a7b4f3b85cd3a61501a5ef82024-12-18T08:47:50ZengElsevierRadiology Case Reports1930-04332025-02-0120210181022The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforationAnass Benomar, MD, MSc, FRCPC0Rui-Ning Gong, MD1An Ni Wu, MD2Michele Khayat, MD3Hamza Laref, DMD, MD4Marc-Jacques Dubois, MD, FRCPC5Pierre Bourgouin, MD, FRCPC6Patrick P. Bourgouin, MD, FRCPC7Department of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, Canada; Corresponding author.Department of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, CanadaDepartment of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, CanadaDepartment of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, CanadaDepartment of Surgery, Division of Otolaryngology, Centre Hospitalier de l'Université Laval (CHUL), Québec City, Quebec, CanadaDepartment of Medicine, Division of Intensive Care Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, CanadaDepartment of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, CanadaDepartment of Radiology, Radiation Oncology and Nuclear Medicine, Centre Hospitalier de l'Université de Montréal (CHUM), Montréal, Quebec, CanadaNasogastric tube placement is frequently performed in various medical settings. While generally deemed safe in patients without risk factors, complications may occur due to malposition, justifying the need of systematic confirmation of position with chest radiographs. We present the case of a critically ill male adult patient for whom the tube position was initially deemed very unusual on postinsertion radiographs, prompting further workup which ultimately confirmed an oropharyngeal perforation with a left parapharyngeal, left visceral, retrotracheal, and right retrodiaphragmatic course, and resulting in a recurrent pneumothorax and empyema treated by surgical decortication.http://www.sciencedirect.com/science/article/pii/S1930043324012585Nasogastric tubeNasoenteral tubeNasogastric tube misplacementOropharyngeal perforationPneumothoraxEmpyema |
| spellingShingle | Anass Benomar, MD, MSc, FRCPC Rui-Ning Gong, MD An Ni Wu, MD Michele Khayat, MD Hamza Laref, DMD, MD Marc-Jacques Dubois, MD, FRCPC Pierre Bourgouin, MD, FRCPC Patrick P. Bourgouin, MD, FRCPC The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation Radiology Case Reports Nasogastric tube Nasoenteral tube Nasogastric tube misplacement Oropharyngeal perforation Pneumothorax Empyema |
| title | The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation |
| title_full | The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation |
| title_fullStr | The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation |
| title_full_unstemmed | The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation |
| title_short | The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation |
| title_sort | path of least resistance the unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation |
| topic | Nasogastric tube Nasoenteral tube Nasogastric tube misplacement Oropharyngeal perforation Pneumothorax Empyema |
| url | http://www.sciencedirect.com/science/article/pii/S1930043324012585 |
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