case_images: PMC11799689_01
case_images: Echocardiography of the patient.. The patient exhibited asymmetric septal hypertrophy; the interventricular septum measuring 16 mm and the left ventricular posterior wall measuring 9.1 mm (left and middle panel). Additionally, increased blood flow through the left ventricular outflow tract confirmed the diagnosis of obstructive hypertrophic cardiomyopathy (right panel).
case_images: 2433-3298-8-1-0295-g001.jpg
case_images: PMC11799689_01_2433-3298-8-1-0295-g001.jpg
case_images: fig1
case_images: A 79-year-old woman with hypertrophic obstructive cardiomyopathy (HOCM) (Figure 1) was admitted for pneumonia (Figure 2) and require intubation and mechanical ventilation.
case_images: Radiography at the admission.. A: Chest radiography revealed lung consolidation. Note that the patient is endotracheally intubated and a nasogastric tube is inserted.. B: Abdominal radiography. The nasogastric tube tip was beyond the diaphragm, and the tube was fixed at the nasal cavity at 65 cm. Note: the height of the patient is 153 cm.
case_images: 2433-3298-8-1-0295-g002.jpg
case_images: PMC11799689_01_2433-3298-8-1-0295-g002.jpg
case_images: fig2
case_images: A 79-year-old woman with hypertrophic obstructive cardiomyopathy (HOCM) (Figure 1) was admitted for pneumonia (Figure 2) and require intubation and mechanical ventilation.
case_images: A: Gastrointestinal radiography using a nasogastric tube. The nasogastric tube tip (arrows) is positioned at the gastric pylorus, whereas the duodenum is immediately in contrast. The tube tip position progressed from the initial position, presumably via peristalsis. B: The nasogastric tube tip (arrows) was pulled back into the gastric body. The tube was adjusted and fixed in the nasal cavity at 55 cm.
case_images: 2433-3298-8-1-0295-g003.jpg
case_images: PMC11799689_01_2433-3298-8-1-0295-g003.jpg
case_images: fig3
case_images: We diagnosed the patients with early dumping syndrome because gastrointestinal radiography revealed that the nasogastric tube tip was positioned at the gastric pylorus (Figure 3), whereas the duodenum was immediately contrasted.