Premature newborn with gastrointestinal bleeding after replacement of the nasogastric tube

Gastrointestinal
AXR of nasogastric tube causing gastric perforation
Baseline CXR AP obtained yesterday (left) shows a nasogastric tube coursing through the esophagus and then curving towards the stomach on the left side of the abdomen. AXR AP after nasogastric tube replacement (right) shows a straight course to the newly placed nasogastric tube whose tip projects in the midline at the level of the L3 vertebral body. There is a faint oval lucency in the midline of the upper abdomen at the level of the T10 and T11 vertebral bodies.

The diagnosis was nasogastric tube malfunction in the form of gastric perforation caused by placement of a nasogastric tube resulting in pneumoperitoneum.

Published