Al Khaldi Maher, Thibeault Félix, Létourneau Richard
General Surgery, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, CAN.
Pancreatic and Hepatobiliary Surgery, Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, CAN.
Cureus. 2019 Jun 21;11(6):e4964. doi: 10.7759/cureus.4964.
Although postoperative abdominal drains are useful in therapeutic settings, their prophylactic role is debatable. We herein describe the case of a 30-year-old male who underwent bile duct resection with hepaticojejunostomy for cholangiocarcinoma. On postoperative day four, the patient developed biliary peritonitis. Explorative laparotomy revealed an obstruction of the afferent limb caused by an intestinal loop around a Jackson-Pratt (JP) drain. Removal of the drain resolved the obstruction which led to a significant improvement of the patient's clinical state. To the best of our knowledge, this is the second report of a bowel obstruction from a surgical drain. When placing abdominal drains, surgeons must take into consideration their indication as well as possible related complications, including intestinal obstruction.
尽管术后腹腔引流管在治疗环境中很有用，但其预防作用仍存在争议。我们在此描述一例30岁男性患者，他因胆管癌接受了胆管切除并肝空肠吻合术。术后第4天，患者发生胆汁性腹膜炎。剖腹探查发现，一根杰克逊-普拉特（JP）引流管周围的肠袢导致输入袢梗阻。拔除引流管后梗阻解除，患者临床状态显著改善。据我们所知，这是关于手术引流管导致肠梗阻的第二例报道。放置腹腔引流管时，外科医生必须考虑其适应证以及可能的相关并发症，包括肠梗阻。
