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01 February 2006

Haemopneumothorax – a rare complication of a common procedure

M. Nadeem Attar, Yahya Al-Najjar, Santwana Tewari, Santwana Tewari, Ferrah Choudhary, Shuja Punekar, Mohammed Munavvar, Sarfraz Khan

Case Rep Clin Pract Rev 2006; 7:111-113 :: ID: 451683


Background: Nasogastric tube insertion is a routine, simple and seemingly innocuous procedure. It can cause
unexpected and serious complications. We report a rare case of haemopneumothorax following nasogastric tube insertion and discuss strategies to prevent the complications.
Case Report: A 37 year old with learning difficulty was admitted with a fall. Initial diagnosis was that of Acute Coronary Syndrome for which appropriate treatment was started. He complained of difficulty
in swallowing and a nasogastric tube was passed in order to maintain his nutrition. Chest x-ray
post procedure revealed the tip of the feeding tube in right hemithorax with an air-fluid level.
Intercostal drain was inserted and drained 400 ml of hemorrhagic fluid with resorption of air
leading to full lung expansion.
Conclusions: Nasogastric tube insertion can cause serious complications. It can lead to tracheopulmonary, nasopharyngeal, esophageal and gastric trauma and perforation. These complications are potentially life-threatening and can lead to death. Be cautious while inserting nasogastric tube.
Never push the tube against resistance and while the patient is coughing.

Keywords: Haemopneumothorax, Pneumothorax, nasogastric tube

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923