Percutaneous Extraction of Retained Biliary T-tubes: a New Technique

Ojanguren, Andrea; Doenz, Francesco; Qanadli, Salah D.; Madoff, David C.; Halkic, Nermin; Bessoud, B.; Denys, Alban

doi:10.1097/01.rvi.0000161143.12677.22

Cited by 3 publications

(2 citation statements)

References 8 publications

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“…2 Endoscopy clamp (13 G; Meditech) introduced through the trocar cannula Fig. 3 Withdrawal of the pin using the clamp under fluoroscopic and CT (step-by-step) guidance tion has also been described in visceral interventional radiology, particularly renal or hepatic, with the withdrawal or the percutaneous fragmentation of renal lithiases or hepatobiliary tract lithiases [7][8][9][10].…”

Section: Discussionmentioning

confidence: 99%

Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique

et al. 2009

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We report on a new minimally invasive technique for the retrieval of a surgical pin fragment after accidental migration into the soft tissue of the shoulder in two patients. The technique is performed under local anaesthesia and uses combined CT and fluoroscopic guidance. The materials used were simple, combining a bone biopsy needle and an endoscopy clamp. Pin displacement was confirmed under fluoroscopic guidance and the clamp was used to withdraw the pin to the cutaneous entry point under CT (step-by-step) guidance. The CT slices provide perfect visualisation of the vascular or nervous structures as well as perfect positioning of the extremity of the trocar relative to the material to be removed. This intervention avoids a second surgical intervention with a longer incision and avoided repeated general anaesthesia.

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Section: Discussionmentioning

confidence: 99%

Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique

et al. 2009

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“…In addition to these case reports, one study mentions a single retained T-tube among a series of 274 cholecystectomies further suggesting that retained T-tube fragments are unusual complications after T-tube removal [12]. Patients with retained T-tube fragments are often asymptomatic during the first years [13,14], until the complication of cholestasis due to new biliary stones and signs of inflammation occur. In the case of retained T-tube fragments, our case report emphasises the importance of early extraction of such fragments to avoid potentially serious complications.…”

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confidence: 99%

A 9-Year Retained T-Tube Fragment Encased within a Stone as a Rare Cause of Jaundice

Hoffman

Kiesslich²,

Galle³

et al. 2008

Z Gastroenterol

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Biliary diseases such as cholangitis may cause jaundice and liver damage. Here, we report on an unusual cause of jaundice in an 84-year-old man 9 years after cholecystectomy. Ultrasound analysis revealed unclear extrahepatic cholestasis and subsequent ERCP showed a large biliary stone surrounding a T-tube fragment that had remained in the common bile duct for more than 9 years after surgery. The tip of the drainage and the stone could be successfully removed using Dormia baskets. This case suggests that plastic material accidentally left in the common bile duct favours the development of large biliary casts when present over long periods of time.

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Percutaneous Extraction of Cement Leakage After Vertebroplasty Under CT and Fluoroscopy Guidance: A New Technique

Amoretti

Huwart

2012

Cardiovasc Intervent Radiol

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Percutaneous Extraction of Retained Biliary T-tubes: a New Technique

Cited by 3 publications

References 8 publications

Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique

Foreign body extraction from soft tissue by using CT and fluoroscopic guidance: a new technique

A 9-Year Retained T-Tube Fragment Encased within a Stone as a Rare Cause of Jaundice

Percutaneous Extraction of Cement Leakage After Vertebroplasty Under CT and Fluoroscopy Guidance: A New Technique

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