A 74-year-old man presented with acute small bowel obstruction secondary to recurrence of a caecal tumour. The patient underwent laparotomy and formation of loop ileostomy and had a nasogastric tube (NGT) inserted in the theatre. A decision was made to remove the patient’s NGT postoperatively, which was found to be stuck. High-quality imaging demonstrated a knot in the tube within the nasopharynx; so, subsequent removal via the oral route necessitated sedation. This case highlights the importance of considering rare or unusual complications of NGT insertion when a patient describes more pain or discomfort than would otherwise be expected. The clarity of imaging highlights clearly the underlying findings when compared with the few other documented cases. We offer a number of learning points specific to this complication.
- nose and throat/otolaryngology
- general surgery
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Contributors MC: Involved in creation of the initial draft, revision of the draft and approval of the final manuscript. Revision of the final manuscript following feedback from peer review. KW: Involved in creation of the initial draft, revision of the draft and approval of the final manuscript. NF: Involved in the initial draft production, critical revision of the draft and approval of the final manuscript, reviewed the manuscript after peer-review comments. VD-N: Consultant in charge of patient care, assisted in critical revision of the draft and approved the final manuscript. All authors are accountable for the work produced.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; externally peer-reviewed.