Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2021 Jun;49(3):263-264.
doi: 10.5152/TJAR.2021.301.

Hard and Granny Tie, Nasogastric Tube Knotted in Nasopharynx: A Case Report

Masoud Nashibi  1 , Farhad Safari  1 , Parisa Sezari  1 , Ahamd Naderi  2 , Kamran Mottaghi  1
Affiliations

Hard and Granny Tie, Nasogastric Tube Knotted in Nasopharynx: A Case Report

Masoud Nashibi et al. Turk J Anaesthesiol Reanim. 2021 Jun.

Abstract

Nasogastric tubes are being used in clinical anaesthesia settings on a daily basis. Although rare, knotting could occur during insertion or removal. Here, we report a knotted nasogastric tube which stocked in patient's nasopharynx that was removed by using a pediatric bougie. Clinicians must be aware of potential knotting of nasogastric tube. Pediatric bougie could be utile if knotted tube gets stocked in nasopharynx.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to declare.

Figures

Figure <?A3B2 show $146#?>1 a-b.
Figure 1 a-b.
(a) Knotted tip of nasogastric tube. (b) Bougie advanced thorough cut nasogastric tube.
See this image and copyright information in PMC

References

    1. Ravind R, Prameela CG, Gurram BC, Dinesh M. Naughty knot: A case of nasogastric tube knotting. BMJ Case Rep. 2015;2015:bcr2015209937. - PMC - PubMed
    1. Mohiuddin SA, Al Kaabi S, Butt T, Yakoob R, Khanna M. Down the wrong road—A case report of inadvertent nasogastric tube insertion leading to lung laceration and important pearls to avoid complications. Qatar Med J. 2016;2016:(2):12. 10.5339/qmj.2016.12 - DOI - PMC - PubMed
    1. Paul V, Shenoy A, Kupfer Y, Tessler S. Pneumothorax occurring after nasogastric tube removal. BMJ Case Rep. 2013;2013:bcr2013010419. - PMC - PubMed
    1. Abe S, Osaka Y, Morita Y. Difficult removal of a nasogastric tube because of knot formation around a nasotracheal tube: A case report. A A Pract. 2018;11:(7):184–185.. 10.1213/XAA.0000000000000776 - DOI - PubMed
    1. Chavda V, Alhammali T, Farrant J, Naidu L, El-Rabaa S. Nasogastric tube knotting: A rare and potentially overlooked complication among healthcare professionals. BMJ Case Rep. 2017;2017: bcr-2017-220287. - PMC - PubMed

LinkOut - more resources