AXR AP (above) shows a feeding tube that crosses to the right of the spine and then heads inferiorly before turning back to the left of the spine with its tip projecting in the left upper quadrant and this is also demonstrated on the pre-tube injection scout image (below left). Injection of contrast through the tube (below right) showed the tip was in the stomach.
The diagnosis was feeding tube malfunction with pulling back of the feeding tube tip out of the duodenum and into the stomach.
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