PDF herunterladen
CC BY 4.0 · Surg J (N Y) 2021; 07(03): e251-e254
DOI: 10.1055/s-0041-1735643
Case Report

Fractured T Tube Fragment in Common Bile Duct during Retrieval: An Unforeseen Mishap

Deepak Rajput 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Itish Patnaik 
2   Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Sruthi Shasheendran 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Beeram K. Prasanna Kumar 
2   Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Amit Gupta 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
› Institutsangaben Funding None.
› Weitere Informationen
Auch verfügbar auf
   Lizenzen und Reprints

Abstract

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.

Keywords

choledocholithiasis - CBD exploration - T tube fragment retrieval - ERCP

Ethical Approval

All India Institute of Medical Sciences, Rishikesh does not require ethical approval for reporting individual cases or case series.


Authors' Contribution

Deepak Rajput and Sruthi Shasheendran wrote the first draft of the manuscript. Itish Patnaik, Beeram K. Prasanna Kumar, and Amit Gupta researched literature and conceived the study. All authors reviewed and edited the manuscript and approved the final version of the manuscript.


Prior Presentation

No.


Informed Consent

Written informed consent was obtained from the patient for her anonymized information and images to be published in this article.




Publikationsverlauf

Eingereicht: 06. November 2020

Angenommen: 12. Juli 2021

Artikel online veröffentlicht:
14. September 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA

 

  • References

  • 1 Williams EJ, Green J, Beckingham I, Parks R, Martin D, Lombard M.. British Society of Gastroenterology. Guidelines on the management of common bile duct stones (CBDS). Gut 2008; 57 (07) 1004-1021
    CrossrefPubMedGoogle Scholar
  • 2 Strong RW. Complications of biliary T-tubes. ANZ J Surg 2002; 72 (03) 171-172
    CrossrefPubMedGoogle Scholar
  • 3 Heikkinen M, Poikolainen E, Kaukanen E, Pääkkönen M. Removing a biliary T-tube and retained stones by ERCP. A case report. Hepatogastroenterology 2005; 52 (66) 1666-1667
    PubMedGoogle Scholar
  • 4 Kourosh S, Fereydon M, Mehdi J, Ali A.. Delayed cholangitis due to a retained T tube fragment. Indian J Surg 2006; 68: 328-329
    PubMedGoogle Scholar
  • 5 Froehlich F, Nussbaumer F, Worreth M. Broken T-tube branch causing bile duct stone. Gastrointest Endosc 2001; 54 (04) 494-495
    CrossrefPubMedGoogle Scholar
  • 6 Thors H, Gudjónsson H, Oddsson E, Cariglia N. Endoscopic retrieval of a biliary T-tube remnant. Gastrointest Endosc 1994; 40 (2 Pt 1): 241-242
    CrossrefPubMedGoogle Scholar
  • 7 Rozario A, Thomas PG, Pais A, Ravindra KV, Rao V. Asymptomatic T-tube remnant in common bile duct. Indian J Gastroenterol 1999; 18 (04) 180-181
    PubMedGoogle Scholar
  • 8 Hoffman A, Kiesslich R, Galle PR, Neurath MF. A 9-year retained T-tube fragment encased within a stone as a rare cause of jaundice. Z Gastroenterol 2008; 46 (07) 700-703
    Artikel in Thieme ConnectPubMedGoogle Scholar
  • 9 Haq A, Morris J, Goddard C, Mahmud S, Nassar AH. Delayed cholangitis resulting from a retained T-tube fragment encased within a stone: a rare complication. Surg Endosc 2002; 16 (04) 714
    CrossrefPubMedGoogle Scholar
  • 10 Sharma T, Farah KF. A 36-year retained T-tube fragment presenting with cholangitis. Gastroenterol Res 2009; 2 (02) 126-127
    PubMedGoogle Scholar
  • 11 McCarthy MC, Becker GJ, Hegyi GJ. Retained T-tube fragment: removal using a Gruntzig balloon dilatation catheter. Indiana Med 1986; 79 (09) 772-773
    PubMedGoogle Scholar
  • 12 Mapelli P, Veiga A, Monticciolo R. Retained T-tube fragment: removal using ERCP with papillotomy. Am J Gastroenterol 1988; 83 (09) 1005
    PubMedGoogle Scholar
  • 13 Muhammad SR, Gatehouse D. Removal of a retained T-tube from the common bile duct. J Pak Med Assoc 1997; 47 (07) 194-195
    PubMedGoogle Scholar
  • 14 Chandrasekar TS, Murugesh M, Radhakrishnan S, Sadagopan T, Hussain AC. Endoscopic removal of retained T-tube fragment. BMJ Case Rep 2009; 2009: bcr07.2008.0356
    CrossrefPubMedGoogle Scholar
  • 15 Tekant Y, Goh P, Isaac J. Endoscopic removal of a retained T tube. Gastrointest Endosc 1993; 39 (01) 108-109
    CrossrefPubMedGoogle Scholar