Videothoracoscopic treatment of a rare complication of nasojejunal tube insertion.
OBJECTIVE
Intubation of the tracheobronchial tree is the most common type of malposition during the placement of narrow-bore enternal tubes.


METHODS
In addition to other treatment components in a 65-year-old female, nasojejunal feeding was started to treat her for severe acute pancreatitis. After the placement of the narrow-bore feeding tube, she developed dyspnea and huskiness. On auscultation and X-ray investigation, the right pneumothorax was detected and the tube was found in the chest cavity. The diagnosis was confirmed by bronchoscopy. Videothoracoscopic resection and closure of the lacerated lung, using a tube thoracostomy, were performed. The patient recovered after postoperative conservative treatment for her pancreatitis.


CONCLUSIONS
Pneumothorax and laceration of the lung-caused by the malposition of narrow-bore enternal tube-can be successfully treated by applying videothoracoscopy.
Szentkereszty
Zsolt
Z
Institute of Surgery, Auguszta Surgical Center, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary. szentkerzs@freemail.hu
Vágvölgyi
Attila
A
Sasi-Szabó
László
L
Plósz
János
J
Kiss
Sándor Sz
SS
Sápy
Péter
P
D000368:Aged; D004750:Enteral Nutrition / Q000009:adverse effects*; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects*; D010195:Pancreatitis / Q000178:diet therapy; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D011859:Radiography; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D013907:Thoracostomy / Q000379:methods*