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影像学检查发现意外留存的盆腔引流管;一例病例报告。

Unintentionally retained pelvic drainage tube found on Imaging; A case report.

作者信息

Dzefi-Tettey Klenam, Edzie Emmanuel Kobina Mesi, Brakohiapa Edmund Kwadwo Kwakye, Labi Juliana, Nyamuame Eunice Sena Aku, Agyeman Nana Yaa Fredua, Coleman Jerry

机构信息

Department of Radiology, Korle Bu Teaching Hospital, 1 Guggisberg Avenue, Accra, Ghana.

Department of Medical Imaging. School of Medical Sciences, College of Health and Allied Sciences, University of Cape Coast, Cape Coast, Ghana.

出版信息

Radiol Case Rep. 2022 Aug 2;17(10):3709-3712. doi: 10.1016/j.radcr.2022.07.049. eCollection 2022 Oct.

DOI:10.1016/j.radcr.2022.07.049
PMID:35936878
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9350872/
Abstract

A retained drainage tube after surgery is rare and patients may be asymptomatic if it occurs. The presence of a retained drainage tube may be first recognized on imaging and this requires a high index of suspicion by radiologists. In this case report, we described an incidental finding of an asymptomatic retained fractured drainage tube in the pelvis of a 32-year-old female on ultrasonography for renal evaluation. This highlighted the need for radiologists to have a high index of suspicion when performing ultrasonography on postoperative patients and surgeons should be meticulous when removing drainage tubes postsurgery. The possibility of a foreign body should be considered when unfamiliar findings are encountered on imaging. Surgeons should inspect drainage tubes after removal to ensure the full length of the tube is removed.

摘要

术后留置引流管的情况较为罕见,若发生这种情况患者可能没有症状。留置引流管的情况可能首先在影像学检查中被发现,这需要放射科医生保持高度的怀疑指数。在本病例报告中,我们描述了一名32岁女性在因肾脏评估进行超声检查时,偶然发现其骨盆中有一根无症状的留置断裂引流管。这凸显了放射科医生在对术后患者进行超声检查时需保持高度怀疑指数的必要性,并且外科医生在术后拔除引流管时应格外小心。当影像学检查遇到不熟悉的发现时,应考虑存在异物的可能性。外科医生在拔除引流管后应检查,以确保引流管全长被拔除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/65a1c21a127b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/86f41d5db805/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/941878d398f9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/65a1c21a127b/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/86f41d5db805/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/941878d398f9/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9e53/9350872/65a1c21a127b/gr3.jpg

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本文引用的文献

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CT Findings of Foreign Body Reaction to a Retained Endoloop Ligature Plastic Tube Mimicking Acute Appendicitis: A Case Report.
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Imaging of abdominal and pelvic surgical and postprocedural foreign bodies.腹部和盆腔手术及术后异物的影像学检查。
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Drain technique in elective total joint arthroplasty.择期全关节置换术中的引流技术。
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Risk factors for retained instruments and sponges after surgery.术后器械和纱布遗留的危险因素。
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The forgotten surgical foreign body.被遗忘的手术异物。
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