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
Case Reports
. 2024 Mar;24(1):77-81.
doi: 10.7704/kjhugr.2023.0064. Epub 2024 Mar 8.

Delayed Gastric Perforation by Nasogastric Tube: A Case Report

Junyeol Kim  1 , Soo-Jeong Cho  1
Affiliations
Case Reports

Delayed Gastric Perforation by Nasogastric Tube: A Case Report

Junyeol Kim et al. Korean J Helicobacter Up Gastrointest Res. 2024 Mar.

Abstract

Nasogastric (NG) tube insertion is a common and routine procedure that is performed for various purposes. Gastric perforations caused by NG tubes are rare but potentially life-threatening. We report a rare case involving a delayed gastric perforation caused by an NG tube in an adult with end-stage heart failure.

Keywords: Gastric perforation; Heart failure; Nasogastric tube.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest Soo-Jeong Cho, the Editor-in-Chief of the Korean Journal of Helicobacter and Upper Gastrointestinal Research, was not involved in the editorial evaluation or decision to publish this article. All remaining authors have declared no conflicts of interest.

Figures

Fig. 1.
Fig. 1.
X-ray images of the NG tube. A: Immediately after manual NG tube insertion (ICU Day 11). B: The day after NG tube insertion (ICU Day 12). C: The day prior to the onset of peritoneal signs (ICU Day 19). D: The day when peritoneal sign develop. NG tube, nasogastric tube; ICU, intensive care unit.
Fig. 2.
Fig. 2.
The gastric perforation by the NG tube was revealed in the computed tomography. A: The NG tube is penetrating the stomach wall. B: The NG tube tip is positioned outside the stomach near the spleen. NG tube, nasogastric tube.
Fig. 3.
Fig. 3.
Endoscopic examination for the gastric perforation by the NG tube. A: The NG tube perforating the gastric wall of high body greater curvature. B: The gastric perforation hole is revealed when the NG tube is removed endoscopically. NG tube, nasogastric tube.
See this image and copyright information in PMC

References

    1. Metheny NA, Meert KL, Clouse RE. Complications related to feeding tube placement. Curr Opin Gastroenterol. 2007;23:178–182. - PubMed
    1. Patow CA, Pruet CW, Fetter TW, Rosenberg SA. Nasogastric tube perforation of the nasopharynx. South Med J. 1985;78:1362–1365. - PubMed
    1. McWey RE, Curry NS, Schabel SI, Reines HD. Complications of nasoenteric feeding tubes. Am J Surg. 1988;155:253–257. - PubMed
    1. Grosfeld JL, Molinari F, Chaet M, et al. Gastrointestinal perforation and peritonitis in infants and children: experience with 179 cases over ten years. Surgery. 1996;120:650–655. discussion 655-656. - PubMed
    1. Albendary M, Mohamedahmed AYY, George A. Delayed adult gastric perforation following insertion of a feeding nasogastric tube. Cureus. 2021;13:e19411. - PMC - PubMed

Publication types