Nasogastric Tube Syndrome: A Case Report of Otalgia and Hoarseness in a Palliative Care Setting

Abstract

Background

Nasogastric tube syndrome (NGTS) is a rare but potentially life-threatening complication of nasogastric tube (NGT) placement. It is characterized by throat pain, hoarseness, and vocal cord paralysis. Awareness is essential for preventing severe airway compromise.

Case Presentation

A 57-year-old woman with pseudomyxoma peritonei developed NGTS while admitted to a palliative care unit with a prolonged NGT placement for intestinal obstruction. The patient presented with symptoms including throat pain, otalgia, and subsequent hoarseness. Fiberoptic laryngoscopy revealed restricted vocal cord abduction and posterior pharyngeal erythema. Despite the option of removing the NGT, it was retained due to ongoing drainage needs and the absence of respiratory distress. Conservative management, including corticosteroids, antibiotics, and proton pump inhibitors, led to symptom resolution.

Conclusion

This case emphasizes the importance of recognizing NGTS, particularly in palliative care settings, and highlights the need for vigilance for atypical symptoms like otalgia. Conservative management may be effective in selected cases, underscoring the importance of individualized care and increased awareness among clinicians.