Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review

Iatrogenic hemopneumothorax is the presence of air and hemorrhagic fluid in the pleural space. It is a complication of invasive procedures performed for diagnosis and treatment. A 75-year-old woman with a history of cerebrovascular disease and aspiration pneumonia underwent wire-guided nasogastric t...

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Main Authors: Busra Ozdemir Ciflik, Mehmet Cetin, Necati Solak, Furkan Sural, Koray Aydogdu
Format: Article
Language:English
Published: Galenos Publishing House 2024-06-01
Series:Haseki Tıp Bülteni
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Online Access:https://www.hasekidergisi.com/articles/nasogastric-tube-placement-as-an-unusual-cause-of-iatrogenic-hemopneumothorax-in-a-geriatric-patient-a-case-report-and-current-literature-review/doi/haseki.galenos.2024.9861
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author Busra Ozdemir Ciflik
Mehmet Cetin
Necati Solak
Furkan Sural
Koray Aydogdu
author_facet Busra Ozdemir Ciflik
Mehmet Cetin
Necati Solak
Furkan Sural
Koray Aydogdu
author_sort Busra Ozdemir Ciflik
collection DOAJ
description Iatrogenic hemopneumothorax is the presence of air and hemorrhagic fluid in the pleural space. It is a complication of invasive procedures performed for diagnosis and treatment. A 75-year-old woman with a history of cerebrovascular disease and aspiration pneumonia underwent wire-guided nasogastric tube (NGT) on the first day of palliative care follow-up because of the risk of aspiration with oral feeding. Posterior-anterior chest radiography was performed after the procedure because the patient had chest pain and tachypnea. Posterior-anterior chest radiography showed that the NGT guidewire was in the right costophrenic sinus and was associated with pneumothorax. Iatrogenic hemopneumothorax may develop secondary to many invasive procedures, as well as secondary to NGT, which is a simple clinical procedure. We aim to present an unprecedented case in which a new-generation NGT with a guidewire caused a hemopneumothorax during insertion.
format Article
id doaj-art-48c3b4dba2e64737b2ac607d752ecf02
institution Kabale University
issn 1302-0072
2147-2688
language English
publishDate 2024-06-01
publisher Galenos Publishing House
record_format Article
series Haseki Tıp Bülteni
spelling doaj-art-48c3b4dba2e64737b2ac607d752ecf022025-08-20T03:36:47ZengGalenos Publishing HouseHaseki Tıp Bülteni1302-00722147-26882024-06-0162317517710.4274/haseki.galenos.2024.9861Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature ReviewBusra Ozdemir Ciflik0https://orcid.org/0000-0002-8677-1142Mehmet Cetin1https://orcid.org/0000-0001-5471-2239Necati Solak2https://orcid.org/0000-0003-1046-5410Furkan Sural3https://orcid.org/0009-0006-2230-658XKoray Aydogdu4https://orcid.org/0000-0003-1379-2855Mardin Training and Research Hospital Clinic of Thoracic Surgery, Mardin, TurkeyAnkara Etlik City Hospital Clinic of Thoracıc Surgery, Ankara, TurkeyAnkara Etlik City Hospital Clinic of Thoracıc Surgery, Ankara, TurkeyAnkara Etlik City Hospital Clinic of Thoracıc Surgery, Ankara, TurkeyAnkara Etlik City Hospital Clinic of Thoracıc Surgery, Ankara, TurkeyIatrogenic hemopneumothorax is the presence of air and hemorrhagic fluid in the pleural space. It is a complication of invasive procedures performed for diagnosis and treatment. A 75-year-old woman with a history of cerebrovascular disease and aspiration pneumonia underwent wire-guided nasogastric tube (NGT) on the first day of palliative care follow-up because of the risk of aspiration with oral feeding. Posterior-anterior chest radiography was performed after the procedure because the patient had chest pain and tachypnea. Posterior-anterior chest radiography showed that the NGT guidewire was in the right costophrenic sinus and was associated with pneumothorax. Iatrogenic hemopneumothorax may develop secondary to many invasive procedures, as well as secondary to NGT, which is a simple clinical procedure. We aim to present an unprecedented case in which a new-generation NGT with a guidewire caused a hemopneumothorax during insertion.https://www.hasekidergisi.com/articles/nasogastric-tube-placement-as-an-unusual-cause-of-iatrogenic-hemopneumothorax-in-a-geriatric-patient-a-case-report-and-current-literature-review/doi/haseki.galenos.2024.9861iatrogenic hemopneumothoraxnasogastric tubepalliative care
spellingShingle Busra Ozdemir Ciflik
Mehmet Cetin
Necati Solak
Furkan Sural
Koray Aydogdu
Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review
Haseki Tıp Bülteni
iatrogenic hemopneumothorax
nasogastric tube
palliative care
title Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review
title_full Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review
title_fullStr Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review
title_full_unstemmed Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review
title_short Nasogastric Tube Placement as an Unusual Cause of Iatrogenic Hemopneumothorax in a Geriatric Patient: A Case Report and Current Literature Review
title_sort nasogastric tube placement as an unusual cause of iatrogenic hemopneumothorax in a geriatric patient a case report and current literature review
topic iatrogenic hemopneumothorax
nasogastric tube
palliative care
url https://www.hasekidergisi.com/articles/nasogastric-tube-placement-as-an-unusual-cause-of-iatrogenic-hemopneumothorax-in-a-geriatric-patient-a-case-report-and-current-literature-review/doi/haseki.galenos.2024.9861
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