[Duodenal perforation due to an abdominal drain placed after appendectomy in a child.
Insertion of abdominal drainage after appendectomy is controversial. We report on a case of duodenal perforation due to a silastic open drainage tube placed in the right para-colic gutter after appendectomy for perforated appendicitis. This case offers a clue against too liberal usage of abdominal drainage after appendectomy. Conservative management of bowel perforations secondary to abdominal drainages should be attempted in the absence of generalised peritonitis.
Castagnetti
M
M
Department of Paediatric Surgery, Dipartimento Universitario Materno-Infantile, University of Palermo. marcocastagnetti@hotmail.com
Cimador
M
M
De Grazia
E
E
D018784:Abdominal Abscess / Q000601:surgery*; D000293:Adolescent; D001062:Appendectomy / Q000009:adverse effects; D001064:Appendicitis / Q000601:surgery*; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D004378:Duodenal Diseases / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome