Intestinal perforation management using T-tube drainage

In cases of small bowel perforation with gross contamination, enterostomy has traditionally been the treatment of choice. An 86-year-old woman was diagnosed with perforative peritonitis. Emergency laparotomy revealed a small bowel perforation with gross contamination, and a T-tube enterostomy was pe...

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Bibliographic Details
Published in:Journal of surgical case reports 2016-05, Vol.2016 (5), p.rjw085
Main Authors: Wakahara, Tomoyuki, Kaji, Masahide, Harada, Yuko, Tsuchida, Shinobu, Toyokawa, Akihiro
Format: Article
Language:English
Subjects:
Case Report
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Summary:In cases of small bowel perforation with gross contamination, enterostomy has traditionally been the treatment of choice. An 86-year-old woman was diagnosed with perforative peritonitis. Emergency laparotomy revealed a small bowel perforation with gross contamination, and a T-tube enterostomy was performed. The T-tube was used for intestinal decompression for the first few days and was then accompanied by enteral feeding. When oral intake was sufficient, the T-tube was removed. The abdominal wall’s fistula healed within 2 days of removal. Except for wound infection, the patient developed no postoperative complications. Under specific circumstances, a T-tube enterostomy can be an effective alternative for a traditional enterostomy. Its advantages include less or no anastomotic leakage, easier management of fluid and electrolyte levels, postoperative enteral feeding from the tube, a shorter operative time and no need for a second operation to close the stoma.
ISSN:2042-8812
2042-8812
DOI:10.1093/jscr/rjw085