Department of Surgical Oncology, University Hospital of Heraklion, 71110 Heraklion, Crete, Greece.
Department of Medical Imaging, University Hospital of Heraklion, 71110 Heraklion, Crete, Greece.
Ann Ital Chir. 2024;95(2):132-135. doi: 10.62713/aic.3294.
Although routine intra-abdominal drain insertion following surgery represents a common practice worldwide, its utility has been questioned during the last decades. Several comparative studies have failed to document significant benefits from routine draining, and drain insertion has been correlated with various complications as well. Drain-related complications include, but are not limited, to infection, bleeding, and tissue erosion. Herein, we present the case of a 32-year-old patient with perforated peptic ulcer and purulent peritonitis, whose postoperative course was complicated by early mechanical bowel obstruction due to an abdominal drain. A high level of clinical suspicion, along with accurate imaging diagnosis, dictated prompt removal of the drain, which resulted in immediate resolution of the patient's symptoms. We aim to increase the clinical awareness of this rare complication related to intra-abdominal drain utilization with this report.
尽管术后常规腹腔引流在世界范围内是一种常见的做法，但在过去几十年中，其效用一直受到质疑。一些比较研究未能证明常规引流有显著益处，引流插入也与各种并发症相关。与引流相关的并发症包括但不限于感染、出血和组织侵蚀。在此，我们报告了一例 32 岁的胃穿孔和化脓性腹膜炎患者，术后因引流管导致早期机械性肠梗阻而使病程复杂化。高度的临床怀疑，以及准确的影像学诊断，促使我们迅速拔除引流管，这导致患者的症状立即得到缓解。我们旨在通过本报告提高对与腹腔引流使用相关的这种罕见并发症的临床认识。
