PMC10076110_01
Chest CT scan showing orogastric tube (arrow).
CRIS2023-4230158.001.jpg
PMC10076110_01_CRIS2023-4230158.001.jpg
fig1
Of note, no mediastinal abnormalities were noted on admission CT imaging (Figure 1).
Chest X-ray (a & b) shows endotracheal tube, orogastric tube and left thoracostomy tube: The side hole of the feeding tube seen overlying the gastro-esophageal junction (arrows).
CRIS2023-4230158.002.jpg
PMC10076110_01_CRIS2023-4230158.002.jpg
fig2
Further management included feeding via a 16 French gauge OGT, the position of which had been confirmed by X-ray (Figure 2), and auscultation as per trauma intensive care unit (ICU) protocol. However, the OGT side hole was higher in position (Figure 2).
Chest CT scan shows (a) air leak around the esophagus and (b) pneumomediastinum (arrows).
CRIS2023-4230158.003.jpg
PMC10076110_01_CRIS2023-4230158.003.jpg
fig3
Incidentally, a localized area of heterogeneous air and fluid density was noted along the left upper paraoesophageal region with minimal pneumomediastinum, raising the suspicion of an esophageal injury (Figure 3).