Detection of tract formation for prevention of bile peritonitis after T-tube removal. Case report

Bile leakage after removal of T-tube is a relatively rare complication caused by inadequate tract formation around the tube. We report a case of bile peritonitis after removal of a latex T-tube. The patient underwent reoperation and a new T-tube was introduced. The T-tube was removed six weeks later...

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Bibliographic Details
Published in:Acta chirurgica belgica 2005-04, Vol.105 (2), p.210-212
Main Authors: LAZARIDIS, Ch, PAPAZIOGAS, B, PATSAS, A, GALANIS, I, PARASKEVAS, G, ARGIRIADOU, H, PAPAZIOGAS, T
Format: Article
Language:English
Subjects:
Abdomen
Aged
Bile
Biological and medical sciences
Cholangiopancreatography, Endoscopic Retrograde - methods
Cholecystectomy - adverse effects
Cholecystectomy - methods
Cholelithiasis - diagnosis
Cholelithiasis - surgery
Device Removal
Drainage - instrumentation
Follow-Up Studies
Foreign-Body Reaction - diagnostic imaging
Foreign-Body Reaction - etiology
Gastroenterology. Liver. Pancreas. Abdomen
General aspects
Humans
Male
Medical sciences
Monitoring, Physiologic - methods
Other diseases. Semiology
Peritonitis - etiology
Peritonitis - prevention & control
Postoperative Complications - prevention & control
Postoperative Period
Risk Assessment
Treatment Outcome
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Summary:Bile leakage after removal of T-tube is a relatively rare complication caused by inadequate tract formation around the tube. We report a case of bile peritonitis after removal of a latex T-tube. The patient underwent reoperation and a new T-tube was introduced. The T-tube was removed six weeks later. Immediately after removal of the tube, the cutaneous ostium of the tube was catheterized with a thin Nelaton catheter. The administration of gastrographin showed the presence of an intact tract. The removal of the t-tube was uneventful. We would propose this method for detecting the tract after removal of the T-tube in order to prevent severe bile leakage after inadequate tract formation.
ISSN:0001-5458
DOI:10.1080/00015458.2005.11679702