PMC3134057_01
In the recovery room, the nurse observes that the nasogastric tube was shorter, with staples fixed on its extremity ( ).
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F1
In this case, the nasogastric tube was abnormally short and staples were present at its extremity (fig. 1).
Tomographic imaging with 3D reconstruction. The remnant nasogastric fragment ( ) is located in the antrum, and the abdominal drain (Delta) against the gastric staple line.
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F2
Tomographic imaging showed a nasogastric tube fragment in the antrum (fig. 2).
Endoscopic extraction of the remnant nasogastric tube. The remnant fragment of the nasogastric tube ( ) is localised endoscopically and extracted with an endoscopic loop (Delta). This approach is completed by the surgeon, who performs laparoscopic suturing of the staple line defect.
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F3
This fragment was incarcerated in the staple line, and endoscopic extraction (fig. 3) created a staple line defect.