PMC5427513_01
(A) Frontal portable chest X-ray 1 shows an abnormal location of the nasogastric tube (black arrows). The NGT is observed as traversing along the course of the trachea and right main bronchus and is further seen to overlap the right upper abdomen. (B) Frontal portable chest X-ray 2. Imaging performed after removal of the NGT shows the appearance of mild right-sided pneumothorax (black arrow). Note the displaced pleural line (white arrow) and the appearance of a patch of right basal consolidation (star).
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PMC5427513_01_qmj-2016-02-012-g001.jpg
fig1
Resuscitation was started and an immediate chest X-ray showed the NG tube traversing along the course of the trachea and right main bronchus into the right upper abdomen with right-sided pneumothorax (Fig. 1A). Chest X-ray after removal of the tube showed right-sided pneumothorax with right basal consolidation (Fig. 1B).
(A) CT scan image of a chest coronal reformation lung window. It shows mild pneumothorax (black arrows). Note a linear dark line traversing the lung parenchyma (short white arrows) likely representing the site of iatrogenic lung laceration. This is a sagittal reformatted image. (B) CT scan image of a mediastinal window. It shows a thin continuous diaphragmatic slip anteriorly (black dashed arrows) which is discontinuous in the centre (white arrow), representing the site of diaphragmatic injury. The presence of pneumothorax is shown (black arrows).
qmj-2016-02-012-g002.jpg
PMC5427513_01_qmj-2016-02-012-g002.jpg
fig2
CT scans revealed right-sided pneumothorax and evidence of lung laceration and underlying lung collapse (Fig. 2A). Focal discontinuity in the right diaphragm was noted in coronal views of CT scans suggesting the occurrence of diaphragmatic injury (Fig. 2B).