case_images: PMC11809944_01
case_images: Initial chest X-ray with chest tube on right side (red arrow)
case_images: cureus-0017-00000077289-i01.jpg
case_images: PMC11809944_01_cureus-0017-00000077289-i01.jpg
case_images: FIG1
case_images: The tube yielded serous fluid positive for neutrophils (Figure 1).
case_images: Misplaced orogastric tube in right chest cavity marked with blue arrow (chest tube marked with red arrow)
case_images: cureus-0017-00000077289-i02.jpg
case_images: PMC11809944_01_cureus-0017-00000077289-i02.jpg
case_images: FIG2
case_images: A chest X-ray revealed free air in the mediastinum and a malpositioned OG tube tip in the right chest cavity (Figure 2).
case_images: PMC11809944_02
case_images: Repeat upper gastrointestinal follow through with no contrast extravasation in chest marked with blue arrow. Contrast in stomach is marked with orange arrow and chest tube is marked with red arrow
case_images: cureus-0017-00000077289-i04.jpg
case_images: PMC11809944_02_cureus-0017-00000077289-i04.jpg
case_images: FIG4
case_images: Following conservative management, a repeat upper gastrointestinal follow-through on the 14th day showed no extravasation and contrast-free flow into the stomach, with proper delineation of esophageal integrity (Figure 4).