title: Detection of tract formation for prevention of bile peritonitis after T-tube removal. Case report.
abstract: Bile leakage after removal of T-tube is a relatively rare complication caused by inadequate tract formation around the tube. We report a case of bile peritonitis after removal of a latex T-tube. The patient underwent reoperation and a new T-tube was introduced. The T-tube was removed six weeks later. Immediately after removal of the tube, the cutaneous ostium of the tube was catheterized with a thin Nelaton catheter. The administration of gastrographin showed the presence of an intact tract. The removal of the t-tube was uneventful. We would propose this method for detecting the tract after removal of the T-tube in order to prevent severe bile leakage after inadequate tract formation.
authors.affiliation: 2nd Surgical Clinic of the Aristotle University of Thessaloniki, Greece.
authors.forename: Ch
authors.initials: Ch
authors.lastname: Lazaridis
authors.forename: B
authors.initials: B
authors.lastname: Papaziogas
authors.forename: A
authors.initials: A
authors.lastname: Patsas
authors.forename: I
authors.initials: I
authors.lastname: Galanis
authors.forename: G
authors.initials: G
authors.lastname: Paraskevas
authors.forename: H
authors.initials: H
authors.lastname: Argiriadou
authors.forename: T
authors.initials: T
authors.lastname: Papaziogas
mesh_terms: D000368:Aged; D001646:Bile; D002760:Cholangiopancreatography, Endoscopic Retrograde / Q000379:methods; D002763:Cholecystectomy / Q000009:adverse effects* / Q000379:methods; D002769:Cholelithiasis / Q000175:diagnosis / Q000601:surgery; D020878:Device Removal; D004322:Drainage / Q000295:instrumentation; D005500:Follow-Up Studies; D005549:Foreign-Body Reaction / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D008991:Monitoring, Physiologic / Q000379:methods; D010538:Peritonitis / Q000209:etiology* / Q000517:prevention & control*; D011183:Postoperative Complications / Q000517:prevention & control; D011184:Postoperative Period; D018570:Risk Assessment; D016896:Treatment Outcome