Cecal perforation secondary to surgical drainage. A case report

Vázquez-Ruiz, José; López-Flor, Vicente; Pérez-Folqués, José Eduardo; Aguado-Pérez, Marta; Fernández-Moreno, José; Mansilla-Molina, Diego

doi:10.1016/j.circen.2014.01.005

Cited by 2 publications

(3 citation statements)

References 9 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Although there is controversy over the placement of drainage tubes, there is a tendency to use less drains in abdominal surgery. [ 2 ] In this case, varying degrees of serous layer damage might occur during the intestinal separation procedure, leading to short-term inflammatory edema of the intestinal wall. Following the insertion of a robust silicone rubber drainage tube (26 Fr), there would be a likelihood of the drainage tube penetrating into the intestinal lumen.…”

Section: Discussionmentioning

confidence: 99%

“…Although their role is acknowledged in specific circumstances, their systematic usage endorsed by some clinicians remains contentious. [ 2 ] As Dr Sims first applied abdominal drainage tubes for patients undergoing gynecological surgery in the 1870s, surgeons have extensively employed them in clinical practice. [ 3 ] The results of a meta-analysis indicated that routine abdominal drainage increases the incidence of postoperative biliary leakage, particularly following drainage removal.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Dong,

Qiu,

et al. 2024

Medicine

View full text Add to dashboard Cite

Rationale: Ileal perforation caused by the insertion of a drainage tube is a rare complication. Hence, the utilization of surgical drains in abdominal surgery remains controversial. At present, there is a trend to reduce the utilization of drains in abdominal surgery, although certain situations may necessitate their application. Patient concerns: A 25-year-old Chinese woman presented with a history of right lower abdominal pain persisting for 10 days. Imaging examinations, including abdominal computed tomography and ultrasound, identified low-density lesions measuring 10 × 8 × 8cm3 in the right lower abdomen, which are consistent with perforated appendicitis complicated by a peri-appendiceal abscess. A laparoscopic appendectomy was carried out. On the 5th postoperative day, the drainage fluid changed to a grass-green color (80mL). Imaging with retrograde contrast through the drainage tube revealed that the 26 Fr silicon rubber drainage tube tip was positioned 50cm away from the ileocecal junction within the ileum. Both the ileal and ileocecal regions appeared well-developed. Intervention and outcomes: Oral intake was suspended, and the patient received antacids, somatostatin, antibiotics, and total parenteral nutrition. On the 19th postoperative day, a follow-up imaging procedure using retrograde contrast through the drainage tube indicated that the tube tip was sealed. The treatment concluded on day 33 postoperatively, and the patient was discharged. Discussion and conclusion: Ileal perforation due to an abdominal drainage tube following laparoscopic appendectomy constitutes a rare but serious complication. However, due to the adhesion and inflammatory changes around the abscess, laparoscopic dissection becomes a challenging and risky process, and the surgical skills and experiences are particularly important. Removing the abdominal drainage tube promptly based on the characteristics of the drainage fluid is recommended. The findings provide valuable insights for surgeons navigating similar challenges.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Dong,

Qiu,

et al. 2024

Medicine

View full text Add to dashboard Cite

show abstract

“…There are other disastrous complications of abdominal drains reported in the literature. A case of cecal perforation due to a silicon tube drain inserted to a patient after abdomino perineal resection, a case of perforation of the stomach by a drain tube inserted to left sub hepatic space after exploratory laparotomy for pyoperitoneum secondary to ruptured liver abscess and transmigration of a pelvic drain into loop iliostomy of a patient following low anterior resection for rectal carcinoma are some examples for such complications [10] [13] [14]. The other possible complications of abdominal drains include wound infection,induce anastomotic leakage (when inserted close to the anstomosis), haemorrhage, intra abdominal adhesions formations and intestinal obstruction (in long standing drains) bleeding perforation and fistula formation [3] [9] [10] [14] 3.3.…”

Section: Other Complications Of Drainsmentioning

confidence: 99%

Drain Site Abdominal Hernia: Known but Rare Complication of Abdominal Drains, a Case Report and a Review of Drain Site Complications

Samarawickrama¹,

Senavirathna²,

Hapuarachchi³

2017

IOSRPHR

View full text Add to dashboard Cite

Abstract:-Drains are being used in abdominal surgery since Hippocrates time therapeutically and prohpylactically aiming to reduce morbidity and early recovery of patients. But these drains are not without complications. The complications range from simple drain site infection to drain site hernia of bowel leading to strangulation and necrosis. We report a case of drain site hernia (DSH) in a 47 year-old women who presented with obstructed large incisional hernia through a previous laparotomy scar. During surgery for the incisional hernia an incarcerated DSH was identified at her right iliac fossa region. Both herniae were repaired successfully and patient's recovery was uneventful. We reviewed the literature regarding the drain site hernia and other complications of abdominal drains. The article describes types of drains, their complications and predisposing factors for those complications and the steps to be taken for the prevention.

show abstract

Cecal perforation secondary to surgical drainage. A case report

Cited by 2 publications

References 9 publications

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Placement of a drainage tube in the ileac lumen following laparoscopic appendectomy: A case report and literature review

Drain Site Abdominal Hernia: Known but Rare Complication of Abdominal Drains, a Case Report and a Review of Drain Site Complications

Contact Info

Product

Resources

About