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Case Reports in Pediatrics
Volume 2016 (2016), Article ID 4103734, 2 pages
http://dx.doi.org/10.1155/2016/4103734
Case Report

Esophageal Perforation with Unilateral Fluidothorax Caused by Nasogastric Tube

1Division of Neonatology, Department of Pediatrics and Adolescent Medicine, Medical University of Graz, Graz, Austria
2Division of Pediatric Radiology, Department of Radiology, Medical University of Graz, Graz, Austria
3Institute of Pathology, Medical University of Graz, Graz, Austria
4Department of Pathology, Skåne Regional and University Laboratories, Lund, Sweden

Received 29 July 2016; Accepted 24 August 2016

Academic Editor: Ian J. Griffin

Copyright © 2016 Lukas P. Mileder et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Preterm infants are highly susceptible to injuries following necessary and often life-saving medical interventions. Esophageal perforation is a rare, yet serious complication that can be caused by aerodigestive tract suction, endotracheal intubation, or nasogastric tube placement. We present the case of a neonate born at 23 weeks plus three days of gestation with chest radiography showing malposition of the nasogastric feeding tube and massive right-sided effusion of Iopamidol in the pleural cavity due to esophageal perforation. In addition, the article summarizes common signs and symptoms associated with esophageal perforation in infants and discusses diagnostic approaches.