T-Tube Breakage During Removal: Management by Endoscopic Retrograde Cholangiopancreatography

被引:0
作者
Kirmaci, Mehlika Bilgi [1 ]
Akay, Tamer [2 ]
Ozgul, Esra [3 ]
Yilmaz, Sezgin [1 ]
机构
[1] Afyonkarahisar Univ Hlth Sci, Dept Gen Surg, Fac Med, Afyon, Turkey
[2] Bandirma State Hosp, Clin Gen Surg, Balikesir, Turkey
[3] Afyonkarahisar Univ Hlth Sci, Dept Radiol, Fac Med, Afyon, Turkey
来源
JOURNAL OF ACADEMIC RESEARCH IN MEDICINE-JAREM | 2020年 / 10卷 / 03期
关键词
Cholangiopancreatography; endoscopic retrograde; drainage; T-tube; complications; DRAINAGE; EXPLORATION;
D O I
10.4274/jarem.galenos.2020.3354
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
T-tube drainage is a widely used procedure among surgeons for various biliary conditions. However, various complications may occur, especially due to the breaking-off of the T-tube from the area where it enters the common bile duct during retraction. These complications often require subsequent surgical procedures to remove the T-tube fragment from the common bile duct lumen. In selected cases, the T-tube fragment can be extracted from the common bile duct by endoscopic retrograde cholangiopancreatography (ERCP). ERCP has a life-saving role that eliminates reoperation for such a complication. Herein, we present a 42-year-old female patient who was referred to our hospital, which is as an advanced center, due to breakage during T-tube withdrawal. The patient had previously undergone open cholecystectomy and T-tube drainage. When removing the T-tube, a breakage occurred at 3-4 cm from the T-tube leg, which was left in the common bile duct. In the ERCP, the leg of the T-tube was removed from the common bile duct lumen by basket compression following endoscopic sphincterotomy and a temporary plastic stent was placed. One month after the procedure, the stent was removed with the help of the ERCP. This case is presented as a rare indication of ERCP.
引用
收藏
页码:294 / 297
页数:4
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