Deadly pressure pneumothorax after withdrawal of misplaced feeding tube: A case report
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Deadly pressure pneumothorax after withdrawal of misplaced feeding tube : A case report. / Andresen, Erik Nygaard; Frydland, Martin; Usinger, Lotte.
I: Journal of Medical Case Reports, Bind 10, Nr. 1, 30, 2016.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - Deadly pressure pneumothorax after withdrawal of misplaced feeding tube
T2 - A case report
AU - Andresen, Erik Nygaard
AU - Frydland, Martin
AU - Usinger, Lotte
PY - 2016
Y1 - 2016
N2 - Background: Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal. Case presentation: An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube. Conclusions: The indications for insertion of nasogastric feeding tubes are many and the procedure is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax.
AB - Background: Many patients have a nasogastric feeding tube inserted during admission; however, misplacement is not uncommon. In this case report we present, to the best of our knowledge, the first documented fatality from pressure pneumothorax following nasogastric tube withdrawal. Case presentation: An 84-year-old Caucasian woman with dysphagia and at risk of aspiration underwent routine insertion of a nasogastric feeding tube; however, shortly after insertion she developed respiratory distress. A chest X-ray showed the tube had been misplaced into our patient's right lung. The tube was removed, but our patient died less than an hour after withdrawal. The autopsy report stated that cause of death was tension pneumothorax, which developed following withdrawal of the misplaced feeding tube. Conclusions: The indications for insertion of nasogastric feeding tubes are many and the procedure is considered harmless; however, if the tube is misplaced there is good reason to be cautious on removal as this can unmask puncture of the pleura eliciting pneumothorax and, as this case report shows, result in an ultimately deadly tension pneumothorax.
KW - Deadly
KW - Nasogastric
KW - Pneumothorax
KW - Tension
KW - Tube
U2 - 10.1186/s13256-016-0813-y
DO - 10.1186/s13256-016-0813-y
M3 - Journal article
C2 - 26846268
AN - SCOPUS:84959564395
VL - 10
JO - Journal of Medical Case Reports
JF - Journal of Medical Case Reports
SN - 1752-1947
IS - 1
M1 - 30
ER -
ID: 180735392