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Challenging removal of a knotted nasogastric tube following insertion under general anaesthetic.
- Source :
-
BMJ case reports [BMJ Case Rep] 2020 Oct 29; Vol. 13 (10). Date of Electronic Publication: 2020 Oct 29. - Publication Year :
- 2020
-
Abstract
- A 74-year-old man presented with acute small bowel obstruction secondary to recurrence of a caecal tumour. The patient underwent laparotomy and formation of loop ileostomy and had a nasogastric tube (NGT) inserted in the theatre. A decision was made to remove the patient's NGT postoperatively, which was found to be stuck. High-quality imaging demonstrated a knot in the tube within the nasopharynx; so, subsequent removal via the oral route necessitated sedation. This case highlights the importance of considering rare or unusual complications of NGT insertion when a patient describes more pain or discomfort than would otherwise be expected. The clarity of imaging highlights clearly the underlying findings when compared with the few other documented cases. We offer a number of learning points specific to this complication.<br />Competing Interests: Competing interests: None declared.<br /> (© BMJ Publishing Group Limited 2020. No commercial re-use. See rights and permissions. Published by BMJ.)
- Subjects :
- Aged
Cecal Neoplasms complications
Humans
Intestinal Obstruction diagnosis
Intestinal Obstruction etiology
Intubation, Gastrointestinal instrumentation
Male
Postoperative Period
Radiography
Anesthesia, General methods
Anesthetics, General pharmacology
Device Removal methods
Intestinal Obstruction therapy
Intubation, Gastrointestinal adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1757-790X
- Volume :
- 13
- Issue :
- 10
- Database :
- MEDLINE
- Journal :
- BMJ case reports
- Publication Type :
- Academic Journal
- Accession number :
- 33122238
- Full Text :
- https://doi.org/10.1136/bcr-2020-238213