Kumar Mohanty, Arun and Kumar Mohanty, Sujit and Mohapatra, Ramapada and Ethiraj, Suraj (2022) Retained T-tube after CBD Exploration Extracted Laparoscopically: A Case Report. Asian Journal of Case Reports in Surgery, 15 (2). pp. 18-21.
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Abstract
Introduction: T-tube has long been used to drain the biliary tract after choledochotomy. It is generally removed 10-14 days after the surgery by means of gentle traction. Here we report a rare cause of retained T-tube due to plastering and peritonialisation of the tube to the parietal wall.
Case Report: A 45 year old lady with choledocholithiasis was planned for common bile duct (CBD) exploration and stone extraction after a failed ERCP. After the procedure a T-tube drain was placed in the CBD. On post operative day 21, the tube was unable to be removed despite traction. Patient was planned for a diagnostic laparoscopy which revealed that the T-tube was plastered and peritonialised completely along its tract to the parietal wall causing its retention. The tube was dissected from the sheath formed around and gently extracted uneventfully. The patient was later doing fine on regular follow up.
Conclusion: Although T-tube placement after choledochotomy is a common surgical practice, the complications of retained T-tube is less understood. Defining the various causes of retained T-tube helps in handling such complications.
Item Type: | Article |
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Uncontrolled Keywords: | T-tube; CBD Exploration; laparoscopy; cholecystectomy; choledocholithiasis |
Subjects: | Eurolib Press > Medical Science |
Depositing User: | Managing Editor |
Date Deposited: | 13 Sep 2023 07:18 |
Last Modified: | 13 Sep 2023 07:18 |
URI: | http://info.submit4journal.com/id/eprint/2337 |
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Retained T-tube after CBD Exploration Extracted Laparoscopically: A Case Report. (deposited 03 Nov 2022 07:35)
- Retained T-tube after CBD Exploration Extracted Laparoscopically: A Case Report. (deposited 13 Sep 2023 07:18) [Currently Displayed]