case_images: PMC10076110_01
case_images: Chest CT scan showing orogastric tube (arrow).
case_images: CRIS2023-4230158.001.jpg
case_images: PMC10076110_01_CRIS2023-4230158.001.jpg
case_images: fig1
case_images: Of note, no mediastinal abnormalities were noted on admission CT imaging (Figure 1).
case_images: Chest X-ray (a & b) shows endotracheal tube, orogastric tube and left thoracostomy tube: The side hole of the feeding tube seen overlying the gastro-esophageal junction (arrows).
case_images: CRIS2023-4230158.002.jpg
case_images: PMC10076110_01_CRIS2023-4230158.002.jpg
case_images: fig2
case_images: Further management included feeding via a 16 French gauge OGT, the position of which had been confirmed by X-ray (Figure 2), and auscultation as per trauma intensive care unit (ICU) protocol. However, the OGT side hole was higher in position (Figure 2).
case_images: Chest CT scan shows (a) air leak around the esophagus and (b) pneumomediastinum (arrows).
case_images: CRIS2023-4230158.003.jpg
case_images: PMC10076110_01_CRIS2023-4230158.003.jpg
case_images: fig3
case_images: Incidentally, a localized area of heterogeneous air and fluid density was noted along the left upper paraoesophageal region with minimal pneumomediastinum, raising the suspicion of an esophageal injury (Figure 3).