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Migration of abdominal drains into the gastrointestinal tract: unexpected complications
 
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Submission date: 2016-12-25
 
 
Acceptance date: 2017-01-04
 
 
Publication date: 2016-12-30
 
 
Arch Med Sci Civil Dis 2016;1(1):141-145
 
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ABSTRACT
Introduction: To give an overview of the literature on intraluminal migration of the drain placed in the intraperitoneal area.
Material and methods: We present a new case of intraluminal migration of the drain placed in the intraperitoneal area and a literature review of studies published in English language on intraluminal migration of the drain placed in the intraperitoneal area, accessed via PubMed and Google Scholar databases.
Results: A 55-year-old male patient presented to our clinic with abdominal pain and jaundice who underwent pancreaticoduodenectomy having been diagnosed with carcinoma of the distal choledoch. During the patient’s follow-ups it was seen that the drain placed into the abdomen had migrated into the intraluminal area. The patient was treated successfully by the controlled removal of the drain. In addition, a total of 9 reports concerning 14 cases of intraluminal migration of the drain placed in the intraperitoneal area meeting the aforementioned criteria were included in the literature review. Eleven of these patients were male (70%), while 3 were female (30%) and their mean age was 62.5 (49–79). While 12 of these patients were treated by drain removal, 2 had surgical treatment.
Conclusions: We believe that controlled removal of the drain can safely be applied in patients whom the fistula tract has been established following upper GI system surgeries that are complicated by intraluminal drain migration.
 
REFERENCES (16)
1.
Hosgood G. The history of surgical drainage. J Am Vet Med Assoc 1990; 196: 42-4.
 
2.
Petrowsky H, Demartines N, Rousson V, Clavien PA. Evidence based value of prophylactic drainage in gastrointestinal surgery: systematic review and meta-analyses. Ann Surg 2004; 240: 1074-84.
 
3.
Yoo JJ, Lee SH, Ahn BK, Baek SU. Strangulated small bowel hernia through a drain site. J Korean Surg Soc 2007; 73: 447-8.
 
4.
Kjossev KT, Losanoff JE. Complication of prophylactic intraperitoneal drainage. Dig Dis Sci 2001; 46: 2456.
 
5.
Saini P, Faridi MS, Agarwal N, Gupta A, Kaur N. Drain site evisceration of fallopian tube, another reason to discourage abdominal drain: report of a case and brief review of literature. Trop Doct 2012; 42: 122-4.
 
6.
Heslin MJ, Harrison LE, Brooks AD, Hochwald SN, Coit DG, Brennan MF. Is intra-abdominal drainage necessary after pancreaticoduodenectomy? J Gastrointest Surg 1998; 2: 373-8.
 
7.
Conlon KC, Labow D, Leung D, et al. Prospective randomized clinical trial of the value of intraperitoneal drainage after pancreatic resection. Ann Surg 2001; 234: 487-94.
 
8.
Eleftheriadis E. Drainage-tube penetration into the gastric lumen, mimicking a high-volume enterocutaneous fistula. The significance of postoperative endoscopy. Surg Endosc 1990; 4: 184-5.
 
9.
Ravishankar HR, Malik RA, Burnett H, Carlson GL. Migration of abdominal drains into the gastrointestinal tract may prevent spontaneous closure of enterocutaneous fistulas. Ann R Coll Surg Engl 2001; 83: 337-8.
 
10.
Wilmot AS, Levine MS, Rubesin SE, Kucharczuk JC, Laufer I. Intraluminal migration of surgical drains after transhiatal esophagogastrectomy: radiographic findings and clinical relevance. Am J Roentgenol 2007; 189: 780-5.
 
11.
Lai PS, Lo C, Lin LW, Lee PC. Drain tube migration into the anastomotic site of an esophagojejunostomy for gastric small cell carcinoma: short report. BMC Gastroenterol 2010; 10: 50.
 
12.
Karabulut M, Gönenç M, Bozkurt MA, Kalayci MU, Aliş H. A rare complication of abdominal drain: transmigration of drainage tube into the diverting loop ileostomy. Kolon Rektum Hast Derg 2011; 21: 187-90.
 
13.
Bae SH, Lee TH, Lee SH, et al. Drain tube-induced jejunal penetration masquerading as bile leak following Whipple’s operation. Case Rep Gastroenterol 2011; 5: 295-300.
 
14.
Carlomagno N, Santangelo ML, Grassia S, La Tessa C, Renda A. Intraluminal migration of a surgical drain. Report of a very rare complication and literature review. Ann Ital Chir 2013; 84: 219-23.
 
15.
Subhash R, Ali IV, Natesh B. Intraluminal migration of drain tube: a short report. Ann Gastroenterol 2013; 26: 93-5.
 
16.
Shao HJ, Lu BC, Xu HJ, Ruan XX, Yin JS, Shen ZH. Gastric fistula secondary to drainage tube penetration: a report of a rare case. Oncol Lett 2016; 11: 2176-8.
 
ISSN:2451-0637
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