title: Videothoracoscopic treatment of a rare complication of nasojejunal tube insertion.
abstract: 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.
authors.affiliation: Institute of Surgery, Auguszta Surgical Center, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary. szentkerzs@freemail.hu
authors.forename: Zsolt
authors.initials: Z
authors.lastname: Szentkereszty
authors.forename: Attila
authors.initials: A
authors.lastname: Vágvölgyi
authors.forename: László
authors.initials: L
authors.lastname: Sasi-Szabó
authors.forename: János
authors.initials: J
authors.lastname: Plósz
authors.forename: Sándor Sz
authors.initials: SS
authors.lastname: Kiss
authors.forename: Péter
authors.initials: P
authors.lastname: Sápy
mesh_terms: 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*