A 74-year-old male patient who with a history of chronic obstructive pulmonary disease (COPD) was admitted to the intensive care unit (ICU) for aspiration pneumonia and respiratory failure. He had a prolonged course of treatment and a nasoduodenal feeding tube blind placed at the bedside. A chest X-ray revealed that the position of the nasoduodenal feeding tube was in the chest. An abdominal X-ray also made it clear that the nasoduodenal feeding tube was not placed in the abdomen. Visual laryngoscopy revealed that the tube entered the airway together with the windpipe.