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01-02-2011 | Image
Pressure necrosis of ala nasi by Sengstaken-Blackemore tube
Published in: Indian Journal of Gastroenterology | Issue 1/2011
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A 42-year-old gentleman with history of significant alcohol consumption had history of painless hematemesis with postural symptoms. He was managed with fluids, blood products and octreotide; however the bleeding continued, and Sengstaken-Blackemore tube (SB tube, Rusch, Kernen, Germany) was inserted. The patient was then referred to our center. He was managed with fluids, blood products, terlipressin and endoscopy was done which showed large esophageal varices which were banded following which hemostasis was achieved. He developed necrosis of the ala of nose due to pressure necrosis by SB tube (Fig. 1).
Fig. 1
Pressure necrosis of ala of nose
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