Falidas Evangelos, Mathioulakis Stavros, Vlachos Konstantinos, Pavlakis Emmanouil, Villias Constantinos
1st Department of General Surgery, 417 NIMTS, Veterans Administration Hospital of Athens, 10-12 Monis Petraki St, Athens 11521, Greece.
Int J Surg Case Rep. 2012;3(1):1-2. doi: 10.1016/j.ijscr.2011.06.002. Epub 2011 Jun 17.
Intra-abdominal drains have been widely used in order to prevent intra-abdominal fluid accumulation and detection of anastomotic leakage.
We herein report a case of small bowel herniation followed by strangulation in an 82 year old woman who had undergone sigmoidectomy for colorectal cancer.
Although several complications related to drain usage such as drainsite infection, hemorrhage and intestinal perforation may occur, intestinal incarceration through drain site is rarely reported.
Drains must be used with caution and only if indicated. Careful insertion, regular post-operative or post-removal inspection is strongly recommended.
腹腔引流管已被广泛用于预防腹腔内液体蓄积和检测吻合口漏。
我们在此报告一例82岁女性患者,她因结肠癌接受了乙状结肠切除术后发生小肠疝并绞窄。
尽管使用引流管可能会出现一些并发症,如引流部位感染、出血和肠穿孔,但通过引流部位发生肠嵌顿的情况很少报道。
必须谨慎使用引流管,且仅在有指征时使用。强烈建议仔细插入,术后或拔除后定期检查。