Malpositioned Ryles Tube into Left Bronchus

Clinical signs of nasogastric tube malpositioning in intensive care patients may be absent or misleading, chest radiography can accurately detect nasogastric tube malpositions in the tracheobronchial tree, may prevent complications, and avoid the use of further costly or invasive diagnostic techniques. This is a post operative patient in whom ryles tube was placed in OT setting and passage was considered difficult. CXR shows RT with distal end on left bronchus. 

Ryles Tube Misplaced Into Cranial Cavity

Here are some images of a polytrauma patient referred to us for a CT scan interpretation. One look at the images make you feel scared, just look at the way Ryles tube is coiling in the cranial cavity. probably he had a cribiform plate fracure through which the tube got accidentally pushed into the cranial cavity. We present the Scout film and CT sections. 35 cases of intracranial nasogastric tube insertion have been reported in the international literature. A complex craniofacial fracture is the most common predisposing factor.

Similar Case on Radswiki

Case by Dr Sumer Sethi-MD, Dr Jaya Shanker,MD

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