Biliary peritonitis due to fistulous tract rupture following a T-tube removal.
We present a patient with biliary peritonitis following a T-tube removal. The patient underwent laparotomy; a rupture of the fistulous tract around the T-tube was found. A Nelaton catheter was inserted through this opening and advanced toward the biliary tree and secured in place by a suture ligature. Postoperative course was uneventful.
Sakorafas
George H
GH
Department of Surgery, Hellenic Air Force Hospital, Athens, Greece. georgesakorafas@yahoo.com
Stafyla
Vania
V
Tsiotos
Gregory G
GG
D015746:Abdominal Pain / Q000209:etiology; D001658:Biliary Fistula / Q000150:complications* / Q000601:surgery; D001659:Biliary Tract / Q000293:injuries*; D001662:Biliary Tract Surgical Procedures; D002404:Catheterization; D002763:Cholecystectomy / Q000009:adverse effects* / Q000295:instrumentation*; D005260:Female; D006801:Humans; D007441:Intubation, Gastrointestinal / Q000009:adverse effects / Q000295:instrumentation; D008875:Middle Aged; D010538:Peritonitis / Q000000981:diagnostic imaging / Q000209:etiology*; D012421:Rupture; D016896:Treatment Outcome; D014463:Ultrasonography