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CC BY 4.0 · Surg J (N Y) 2021; 07(03): e251-e254
DOI: 10.1055/s-0041-1735643
Case Report

Fractured T Tube Fragment in Common Bile Duct during Retrieval: An Unforeseen Mishap

Deepak Rajput 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Itish Patnaik 
2   Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Sruthi Shasheendran 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Beeram K. Prasanna Kumar 
2   Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
,
Amit Gupta 
1   Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India
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Abstract

Common bile duct (CBD) exploration by surgical method—open or laparoscopic, traditionally involved using a T tube to take care of postoperative intraluminal pressure and edema. The complications of T tube include bile leak after removal, formation of biliary fistula, excoriation of the skin, dehydration, saline depletion, retained T tube fragment, CBD obstruction, cholangitis, pancreatitis, and duodenal erosion. Here, we report a case of retained T tube fragment after an attempted removal in an operated case of choledocholithiasis, which was managed by endoscopic retrograde cholangiopancreatography and balloon catheter removal of the remnant.

Keywords

choledocholithiasis - CBD exploration - T tube fragment retrieval - ERCP

Ethical Approval

All India Institute of Medical Sciences, Rishikesh does not require ethical approval for reporting individual cases or case series.


Authors' Contribution

Deepak Rajput and Sruthi Shasheendran wrote the first draft of the manuscript. Itish Patnaik, Beeram K. Prasanna Kumar, and Amit Gupta researched literature and conceived the study. All authors reviewed and edited the manuscript and approved the final version of the manuscript.


Prior Presentation

No.


Informed Consent

Written informed consent was obtained from the patient for her anonymized information and images to be published in this article.




Publication History

Received: 06 November 2020

Accepted: 12 July 2021

Article published online:
14 September 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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