Rajput Deepak, Patnaik Itish, Shasheendran Sruthi, Kumar Beeram K Prasanna, Gupta Amit
Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India.
Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India.
Surg J (N Y). 2021 Sep 14;7(3):e251-e254. doi: 10.1055/s-0041-1735643. eCollection 2021 Jul.
Common bile duct (CBD) exploration by surgical method-open or laparoscopic, traditionally involved using a T tube to take care of postoperative intraluminal pressure and edema. The complications of T tube include bile leak after removal, formation of biliary fistula, excoriation of the skin, dehydration, saline depletion, retained T tube fragment, CBD obstruction, cholangitis, pancreatitis, and duodenal erosion. Here, we report a case of retained T tube fragment after an attempted removal in an operated case of choledocholithiasis, which was managed by endoscopic retrograde cholangiopancreatography and balloon catheter removal of the remnant.
通过手术方法（开放或腹腔镜）进行胆总管（CBD）探查，传统上需要使用T管来处理术后管腔内压力和水肿。T管的并发症包括拔除后胆漏、胆瘘形成、皮肤擦伤、脱水、盐分缺失、T管碎片残留、胆总管梗阻、胆管炎、胰腺炎和十二指肠糜烂。在此，我们报告一例胆总管结石手术病例在尝试拔除T管后出现T管碎片残留的情况，该病例通过内镜逆行胰胆管造影术和用球囊导管取出残余碎片进行了处理。
