Accidental pneumothorax secondary to a malpositioned nasogastric tube in a patient presenting with acute ischaemic stroke

Accidental pneumothorax secondary to a malpositioned nasogastric tube in a patient presenting with acute ischaemic stroke

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A 77-year-old woman presenting with severe acute ischaemic stroke failed a swallow screening test on admission.A nasogastric (NG) tube was inserted to initiate enteral feeding.She required multiple NG tube placements due to agitation Formula 1 box with repeat malposition into the right bronchus demonstrated on chest radiographs.Further radiographs to confirm NG tube position showed a right apical pneumothorax that was missed on initial imaging reviews.

The patient remained clinically stable guar gum with no respiratory compromise and the pneumothorax resolved spontaneously without directed treatment.