Oesophageal perforation by migrated Ryles tube
TROPICAL DOCTOR(2024)
摘要
A 72-year woman with a history of multiple cerebrovascular accidents presented with severe epigastric pain. An oesophageal perforation by the tip of a Ryles tube, which had migrated into the mediastinum, was diagnosed by radiography. An attempt at pushing the nasogastric tube into the stomach resulted in increasing the rupture to about 6 cm in size. Replacement by a triple-lumen nasojejunal feeding tube and subsequent feeding with c.1,400 calories per day enabled the perforation to close without further intervention.
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关键词
Oesophageal perforation,Ryles tube,primary repair,enteral nutrition,cerebrovascular accident
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