Chandrasekar Thoguluva Seshadri, Murugesh Mallaiyappan, Radhakrishnan Subbaiah, Sadagopan Thiruvengadam, Hussain Abdul Cadar Mohammed Hameed
Medindia Hospitals, Gastroenterology, 96, Vivekananda Road, Coimbatore, 641009, India.
BMJ Case Rep. 2009;2009. doi: 10.1136/bcr.07.2008.0356. Epub 2009 Mar 5.
T-tube usage is common following common bile duct exploration for calculi and other complex biliary surgeries to ensure proper biliary diversion and healing. A 25-year-old woman was referred from a surgical unit with a history of open cholecystectomy and common bile duct exploration for cholelithiasis and choledocholithiasis with T-tube placement in the common bile duct for postoperative biliary diversion. While retrieving the T-tube, it got fractured and the fragment remained in the bile duct. We report a rare case of retained T-tube fragment after T-tube removal that was retrieved endoscopically.
在胆总管探查取石及其他复杂胆道手术后,放置T管以确保胆汁正常引流和愈合是很常见的操作。一名25岁女性因胆囊结石和胆总管结石接受了开腹胆囊切除术和胆总管探查术,并在胆总管放置T管以进行术后胆汁引流,术后从外科病房转诊而来。在取出T管时,T管发生断裂,碎片留在了胆管内。我们报告了一例罕见的T管拔除后T管碎片残留并经内镜取出的病例。