CincyKidsRad

Cincinnati Children's Radiology

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### Malpositioned feeding tube

Chest x-ray shows a malpositioned feeding tube entering the left mainstem bronchus before doubling back upon itself and entering the right lower lobe bronchi. Due to the deep position of this feeding tube, it must be retracted with caution to prevent lung injury. When placing a tube fluoroscopically, it is helpful to watch the tube in the chest to see that it extends below the level of the carina to ensure that it is within the esophagus.

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### Similar cases

The feeding tube can be seen overlying the right lung base (red arrow head). Subsequent radiograph of the chest confirmed the feeding to tube to be malpositioned. It is important to communicate malpositioned lines and support devices. This is considered a critical finding and must be communicated directly to the ordering provider and verbal confirmation of understanding is required.](https://app.figure1.com/case-detail/10fc17a4-12b2-4387-8607-141eb6e2559c)

Tube feeds in a chest tube! Thats a new one. Pt has esophageal perforation with stent. Started draining feeds post procedure.](https://app.figure1.com/case-detail/4aa9432c-c363-471f-a831-8fc3353ddf33)

#Nutrition #Tube-feeding #Enteral-tube-nutrition](https://app.figure1.com/case-detail/4e76c4ae-a566-48ca-b1c9-700a8c578a6e)

#Enteral-tube-nutrition : forcefull and misplaced enteral tube.](https://app.figure1.com/case-detail/5d355985-8756-426b-802f-369c8a114c27)

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