阻力最小的路径口咽部穿孔后鼻胃管不寻常的消化外旅程

Q4 Medicine

Radiology Case Reports Pub Date : 2024-11-25 DOI:10.1016/j.radcr.2024.10.159

Anass Benomar MD, MSc, FRCPC , Rui-Ning Gong MD , An Ni Wu MD , Michele Khayat MD , Hamza Laref DMD, MD , Marc-Jacques Dubois MD, FRCPC , Pierre Bourgouin MD, FRCPC , Patrick P. Bourgouin MD, FRCPC

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引用次数: 0

摘要

鼻胃管置入术经常在各种医疗环境中进行。虽然在没有风险因素的患者中通常被认为是安全的，但由于位置不正可能会导致并发症，因此需要通过胸部 X 光片系统地确认位置。我们介绍了一例重症男性成人患者的病例，插管后的 X 光片显示插管位置非常不正常，因此需要进一步检查，最终证实患者口咽部穿孔，并有左侧咽旁、左侧内脏、气管后和右侧膈后病变，导致复发性气胸和肺水肿，经手术去骨膜化治疗。

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The path of least resistance: The unusual extradigestive journey of a nasogastric tube following oropharyngeal perforation

Nasogastric tube placement is frequently performed in various medical settings. While generally deemed safe in patients without risk factors, complications may occur due to malposition, justifying the need of systematic confirmation of position with chest radiographs. We present the case of a critically ill male adult patient for whom the tube position was initially deemed very unusual on postinsertion radiographs, prompting further workup which ultimately confirmed an oropharyngeal perforation with a left parapharyngeal, left visceral, retrotracheal, and right retrodiaphragmatic course, and resulting in a recurrent pneumothorax and empyema treated by surgical decortication.

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来源期刊

Radiology Case Reports Medicine-Radiology, Nuclear Medicine and Imaging

CiteScore

1.10

自引率

0.00%

发文量

1074

审稿时长

30 days

期刊介绍： The content of this journal is exclusively case reports that feature diagnostic imaging. Categories in which case reports can be placed include the musculoskeletal system, spine, central nervous system, head and neck, cardiovascular, chest, gastrointestinal, genitourinary, multisystem, pediatric, emergency, women''s imaging, oncologic, normal variants, medical devices, foreign bodies, interventional radiology, nuclear medicine, molecular imaging, ultrasonography, imaging artifacts, forensic, anthropological, and medical-legal. Articles must be well-documented and include a review of the appropriate literature.