Misplaced nasogastric tube

Case contributed by Lachlan McKay
Diagnosis certain

Presentation

Nasogastric tube inserted for malnourishment to provide supplemental feeds.

Patient Data

Age: 80 years
Gender: Female
x-ray

Chest XR performed to assess position of nasogastric tube (NGT).

NGT visible in the midline with the tip ending above the diaphragm in the esophagus.

Case Discussion

This case demonstrates incorrect NGT positioning, with the tip ending in the esophagus.

In most cases without contraindication, the NGT should be advanced further and a repeat CXR to reassess positioning performed.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.