title: [Cecal perforation secondary to surgical drainage. A case report].
abstract: BACKGROUND
  The use of surgical drains in abdominal surgery is still today controversial. While accepting their role in certain circumstances, their systematic use advocated by other schools, is not fully accepted. We present a case of secondary blind drilling drainage tube perineum following an abdominoperineal amputation of the rectum that forced a surgical repair in a neoplastic patient
  
  
  METHODS
  This is a patient who underwent abdomino perineal resection for rectal neoplasia. It was decided to leave a silicone-type drain tube for perineum and in late postoperative he presented cecum perforation due to traumatic introduction thereof into the cecal light, which forced his reoperation and surgical repair.
  
  
  CONCLUSIONS
  There is a tendency to use less and less drains in abdominal surgery, although there are certain occasions when it becomes inevitable. On the other hand it entails morbidity associated with its use that significantly complicates and delays the recovery of the patient. It is accepted that is not useful to prevent the occurrence of fistulas, although it contributes to its early detection.
  
  
  CONCLUSIONS
  The cecal perforation due to drain is a rare complication which must always be taken into account, and that perhaps could be avoided by using soft and less rigid drains.
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Virgen del Castillo, Yecla, Murcia, España. Electronic address: vasquesito@gmail.com.
authors.forename: José
authors.initials: J
authors.lastname: Vázquez-Ruiz
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors.forename: Vicente
authors.initials: V
authors.lastname: López-Flor
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors.forename: José Eduardo
authors.initials: JE
authors.lastname: Pérez-Folqués
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors.forename: Marta
authors.initials: M
authors.lastname: Aguado-Pérez
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors.forename: José
authors.initials: J
authors.lastname: Fernández-Moreno
authors.affiliation: Servicio de Cirugía General y Aparato Digestivo, Hospital Virgen del Castillo, Yecla, Murcia, España.
authors.forename: Diego
authors.initials: D
authors.lastname: Mansilla-Molina
mesh_terms: D000671:Amputation, Surgical; D057868:Anastomotic Leak / Q000209:etiology; D002277:Carcinoma / Q000601:surgery / Q000628:therapy; D002432:Cecum / Q000293:injuries* / Q000601:surgery; D059248:Chemoradiotherapy; D003131:Combined Modality Therapy; D004322:Drainage / Q000009:adverse effects* / Q000295:instrumentation; D004630:Emergencies; D006498:Hepatectomy / Q000379:methods; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology* / Q000601:surgery; D008113:Liver Neoplasms / Q000556:secondary / Q000601:surgery; D008175:Lung Neoplasms / Q000556:secondary / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000601:surgery; D011013:Pneumonectomy / Q000379:methods; D012004:Rectal Neoplasms / Q000601:surgery / Q000628:therapy; D012007:Rectum / Q000601:surgery
keywords: Abdominal drainage; Cecum perforation; Drenaje abdominal; Morbilidad drenajes; Morbility drains; Perforación ciego