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  • Title: Detection of tract formation for prevention of bile peritonitis after T-tube removal. Case report.
    Author: Lazaridis Ch, Papaziogas B, Patsas A, Galanis I, Paraskevas G, Argiriadou H, Papaziogas T.
    Journal: Acta Chir Belg; 2005 Apr; 105(2):210-2. PubMed ID: 15906918.
    Abstract:
    Bile leakage after removal of T-tube is a relatively rare complication caused by inadequate tract formation around the tube. We report a case of bile peritonitis after removal of a latex T-tube. The patient underwent reoperation and a new T-tube was introduced. The T-tube was removed six weeks later. Immediately after removal of the tube, the cutaneous ostium of the tube was catheterized with a thin Nelaton catheter. The administration of gastrographin showed the presence of an intact tract. The removal of the t-tube was uneventful. We would propose this method for detecting the tract after removal of the T-tube in order to prevent severe bile leakage after inadequate tract formation.
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