title: Case-based review: bile peritonitis after T-tube removal.
abstract: T-tube placement into the common bile duct (CBD) is most commonly performed after CBD exploration for cholelithiasis or repair of an iatrogenic CBD injury. Bile peritonitis occurring after T-tube removal is generally considered an exceedingly rare complication, which on occurrence necessitates urgent intervention. No clear guidance exists on the timing of T-tube removal and its relationship to the development of bile peritonitis. This study aimed to determine the incidence of bile peritonitis after T-tube removal, its relationship to the timing of removal and how knowledge of this can help the general surgeon.
authors.affiliation: Shrewsbury and Telford Hospital NHS Trust, UK, Princess Royal Hospital, Apley Castle, Telford TF1 6TF, UK. muneer_ahmed@hotmail.co.uk.
authors.forename: M
authors.initials: M
authors.lastname: Ahmed
authors.forename: R T
authors.initials: RT
authors.lastname: Diggory
mesh_terms: D001646:Bile; D017081:Cholecystectomy, Laparoscopic / Q000379:methods; D002768:Choledochostomy / Q000009:adverse effects / Q000295:instrumentation*; D002769:Cholelithiasis / Q000601:surgery; D002908:Chronic Disease; D003135:Common Bile Duct; D020878:Device Removal; D005260:Female; D006801:Humans; D007440:Intubation / Q000009:adverse effects*; D008875:Middle Aged; D010538:Peritonitis / Q000209:etiology*
references.citation: Res Exp Med (Berl). 1997;197(1):53-61
references.pmid: 9226763
references.citation: J Gastrointest Surg. 2010 May;14(5):844-8
references.pmid: 20232173
references.citation: Br J Surg. 1967 Oct;54(10):854-6
references.pmid: 4860065
references.citation: Am J Surg. 1983 Aug;146(2):254-6
references.pmid: 6881451
references.citation: Br J Surg. 1986 Aug;73(8):641-3
references.pmid: 3742179
references.citation: Cochrane Database Syst Rev. 2007 Jan 24;(1):CD005640
references.pmid: 17253565
references.citation: ANZ J Surg. 2002 Mar;72(3):177-80
references.pmid: 12071447
references.citation: Int Surg. 2000 Jan-Mar;85(1):57-63
references.pmid: 10817434
references.citation: Ann Chir. 1981 May;35(5):351-5
references.pmid: 7247312
references.citation: Br J Surg. 2011 Dec;98(12):1766-74
references.pmid: 21935910
references.citation: Br J Surg. 1989 Dec;76(12):1296-7
references.pmid: 2605474
references.citation: Aust N Z J Surg. 1978 Apr;48(2):182-3
references.pmid: 280322
references.citation: Postgrad Med J. 1974 Nov;50(589):713-7
references.pmid: 4467874
references.citation: Br J Surg. 1976 Jun;63(6):440-5
references.pmid: 1276671
references.citation: Hepatogastroenterology. 2006 May-Jun;53(69):330-4
references.pmid: 16795965
references.citation: Ann R Coll Surg Engl. 1985 Nov;67(6):370-1
references.pmid: 4073767
references.citation: Br J Surg. 1977 Dec;64(12):862-3
references.pmid: 412547
references.citation: World J Surg. 1982 Sep;6(5):610-5
references.pmid: 7135990
references.citation: J Surg Res. 2009 Nov;157(1):e1-5
references.pmid: 19577251
references.citation: Radiology. 1982 Jul;144(2):267-70
references.pmid: 7089279
references.citation: J Visc Surg. 2012 Jun;149(3):e172-8
references.pmid: 22537812
references.citation: Am J Surg. 2005 Sep;190(3):430-3
references.pmid: 16105531
references.citation: Hepatogastroenterology. 1995 Nov-Dec;42(6):975-8
references.pmid: 8847054
references.citation: Lancet. 1965 Apr 17;1(7390):843-4
references.pmid: 14263542