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When the routine gets complicated: Gastric and splenic perforation by a nasogastric tube

Antonio M Caballero-Mateos1, Begoña Vidal-Vílchez2, Antonio José Ruiz-Rodríguez2

  • 1Aparato Digestivo, Hospital Clínico Universitario San Cecilio, España.

Revista Espanola De Enfermedades Digestivas
|February 22, 2021
PubMed

Insights

Nasogastric tubes can cause rare but serious complications. This case report details a gastric and splenic perforation caused by a nasogastric tube, successfully treated with surgery.

Area of Science:

  • Gastroenterology
  • Surgical Procedures
  • Medical Device Complications

Background:

  • Nasogastric tubes are commonly used for feeding and decompression.
  • Despite routine use, invasive procedures carry inherent risks.
  • Patient safety during nasogastric tube insertion is paramount.

Observation:

  • A male patient experienced gastric and splenic perforation.
  • The perforation was a direct complication of nasogastric tube placement.
  • This event occurred despite the routine nature of the procedure.

Findings:

  • The case highlights a rare but severe complication of nasogastric tube use.
  • Surgical intervention was required to address the perforations.
  • Successful surgical management was achieved.

Implications:

  • Clinicians should maintain high vigilance for potential complications during nasogastric tube insertion.
  • Awareness of this risk can improve patient outcomes.
  • Further research into minimizing such risks may be warranted.

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