Healing One Acute Pancreatitis Patient with the Duodenal Perforation Caused by a Nutritional Tube Misplacement

Abstract

Enteral nutrition support of Acute Pancreatitis (AP) patients via a Nasojejunal Feeding Tube (NJT) is a conventional and rational treatment. The nutritional tube placement accurately is of vital important. Generally, complications of NJT placement are uncommon. A 47-year-old female AP patient was admitted to our ICU. An abdominal X-ray showed that an NJT was in the duodenum drop. And there was an abnormal air pattern in the end of the NJT. A CT scan revealed the retroperitoneal air in the end of the NJT as well as the injection of pan shadow meglumine contrast through gastric tube leakage into jejunum, suggesting a duodenal perforation. Therefore, we placed a new jejunum nutrition tube under gastroscope. One month later CT scan showed that there was no leakage into the original considered duodenal perforation through oral contrast agent. One week later the je - junum nutrition tube was pulled out.