Intestinal Perforation: A Magical Angle Change of Nasojejunal Tube on CT

This case presents a special case of a 29-year-old man who had a new intestinal fistula which was found at the end of nasojejunal tube for necrotizing pancreatitis in intensive care unit(ICU).Abdominal computed tomography (CT) showed imaging revealed the angle of the tube in the upper right abdomen changing from the acute angle to the right angle under the gastrointestinal peristalsis.With the peritoneal lavage and antibiotics coverage, the patient's abdominal pain was resolved quickly.He was discharged 16 days after admission and went back to the local hospital for further laparotomy.