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Practice

A painful and knotted nasogastric tube

Shruti Niranjan Tapaiwala, Dawood Al Riyami and Edward Cole
CMAJ February 26, 2008 178 (5) 568; DOI: https://doi.org/10.1503/cmaj.070750
Shruti Niranjan Tapaiwala MD
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Dawood Al Riyami MD
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Edward Cole MD
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  • © 2008 Canadian Medical Association

A nasogastric tube was inserted in a 35-year-old man before a surgical procedure. After the operation when the tube was being removed, the patient experienced an excruciating pain in his nasopharynx. The tube could not be advanced outward or inward. A radiograph showed a knotted nasogastric tube in the patient's nasopharynx (Figure 1). The tube was eventually removed through the oral cavity by use of a McGill forceps. Upon further review of the radiograph, we saw that the tube was coiled in the patient's stomach, which could have led to it becoming knotted when it was being pulled out.

Figure1
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Figure 1: A: Radiograph obtained after insertion of nasogastric tube showing the coiled tube in the stomach. B: Radiograph showing that the nasogastric tube is coiled and knotted in the patient's nasopharynx. The tip of the tube is in the supraglottic region.

Footnotes

  • CMAJ invites contributions to Interesting images, a new column with a very brief but clear description of the case, the images and the main teaching point. Submit manuscripts online at http://mc.manuscriptcentral.com/cmaj.

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Canadian Medical Association Journal: 178 (5)
CMAJ
Vol. 178, Issue 5
26 Feb 2008
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A painful and knotted nasogastric tube
Shruti Niranjan Tapaiwala, Dawood Al Riyami, Edward Cole
CMAJ Feb 2008, 178 (5) 568; DOI: 10.1503/cmaj.070750

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A painful and knotted nasogastric tube
Shruti Niranjan Tapaiwala, Dawood Al Riyami, Edward Cole
CMAJ Feb 2008, 178 (5) 568; DOI: 10.1503/cmaj.070750
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