Slip of the T tube within the common bile duct: A little known complication of the T tube drainage

Complications related to the T tube drainage of the common bile duct are not uncommon. Some, like dislocations of the T tube out of the common bile duct, could be very serious, particularly if developed during the first few days after surgery, when the abdominal drain in the subhepatic space had bee...

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Main Authors: Čolović Radoje, Radak Vladimir, Grubor Nikica, Matić Slavko
Format: Article
Language:English
Published: Serbian Medical Society 2005-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790504138C.pdf
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spelling doaj-20ec3433d4904dd988e67c6023df733d2021-01-02T08:35:29ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792005-01-011333-413814110.2298/SARH0504138CSlip of the T tube within the common bile duct: A little known complication of the T tube drainageČolović RadojeRadak VladimirGrubor NikicaMatić SlavkoComplications related to the T tube drainage of the common bile duct are not uncommon. Some, like dislocations of the T tube out of the common bile duct, could be very serious, particularly if developed during the first few days after surgery, when the abdominal drain in the subhepatic space had been already removed. Then, an emergency reoperation might be necessary. The slip of the T tube upwards or downwards inside the common bile duct is not so rare. Fortunately, it is less dangerous and can usually be resolved without reoperation. It takes place several days after surgery, followed by the right subcostal pain, occasionally with temperature, rise of the bilirubin and with decrease or complete cessation of the bile drainage through the T tube. The diagnosis can be made only on the basis of T tube cholangiography. The re-establishment of the proper T tube position must be done under X-ray visualization. Seven cases of the T tube slip within the common bile duct, its clinical presentation, diagnosis and method of repositioning were presented. Possible mechanism of complication was described. As far as we know, the complications have not been described by other authors. http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790504138C.pdfT tubeslipcommon bile duct
collection DOAJ
language English
format Article
sources DOAJ
author Čolović Radoje
Radak Vladimir
Grubor Nikica
Matić Slavko
spellingShingle Čolović Radoje
Radak Vladimir
Grubor Nikica
Matić Slavko
Slip of the T tube within the common bile duct: A little known complication of the T tube drainage
Srpski Arhiv za Celokupno Lekarstvo
T tube
slip
common bile duct
author_facet Čolović Radoje
Radak Vladimir
Grubor Nikica
Matić Slavko
author_sort Čolović Radoje
title Slip of the T tube within the common bile duct: A little known complication of the T tube drainage
title_short Slip of the T tube within the common bile duct: A little known complication of the T tube drainage
title_full Slip of the T tube within the common bile duct: A little known complication of the T tube drainage
title_fullStr Slip of the T tube within the common bile duct: A little known complication of the T tube drainage
title_full_unstemmed Slip of the T tube within the common bile duct: A little known complication of the T tube drainage
title_sort slip of the t tube within the common bile duct: a little known complication of the t tube drainage
publisher Serbian Medical Society
series Srpski Arhiv za Celokupno Lekarstvo
issn 0370-8179
publishDate 2005-01-01
description Complications related to the T tube drainage of the common bile duct are not uncommon. Some, like dislocations of the T tube out of the common bile duct, could be very serious, particularly if developed during the first few days after surgery, when the abdominal drain in the subhepatic space had been already removed. Then, an emergency reoperation might be necessary. The slip of the T tube upwards or downwards inside the common bile duct is not so rare. Fortunately, it is less dangerous and can usually be resolved without reoperation. It takes place several days after surgery, followed by the right subcostal pain, occasionally with temperature, rise of the bilirubin and with decrease or complete cessation of the bile drainage through the T tube. The diagnosis can be made only on the basis of T tube cholangiography. The re-establishment of the proper T tube position must be done under X-ray visualization. Seven cases of the T tube slip within the common bile duct, its clinical presentation, diagnosis and method of repositioning were presented. Possible mechanism of complication was described. As far as we know, the complications have not been described by other authors.
topic T tube
slip
common bile duct
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2005/0370-81790504138C.pdf
work_keys_str_mv AT colovicradoje slipofthettubewithinthecommonbileductalittleknowncomplicationofthettubedrainage
AT radakvladimir slipofthettubewithinthecommonbileductalittleknowncomplicationofthettubedrainage
AT grubornikica slipofthettubewithinthecommonbileductalittleknowncomplicationofthettubedrainage
AT maticslavko slipofthettubewithinthecommonbileductalittleknowncomplicationofthettubedrainage
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