A tale of wandering T-tube: Complete Duodenal Migration and Successful Retrieval

Authors

  • Prajwal Dahal Grande International Hospital
  • Sabina Parajuli National Academy of Health Sciences Bir Hospital
  • Kapil Dawadi Grande International Hospital

DOI:

https://doi.org/10.3126/njr.v13i1.57829

Keywords:

Cholecystectomy, Jaundice, Sphincterotomy, T-tube

Abstract

A 33 years male presented with obstructive jaundice and was diagnosed as chronic cholecystitis with choledochocystolithiasis. The gastroenterology team performed ERCP with sphincterotomy to retrieve stone in common bile duct but failed. Open cholecystectomy with common bile duct exploration was done after few days. T-tube was placed in common bile duct. In the 8th post operative day, tube manipulation was done due to reduced drain output and pain abdomen. We performed T-tube cholangiogram on 12th postoperative day which showed duodenal migration of T tube. The displaced T tube was retrieved using a simple technique.

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Author Biographies

Prajwal Dahal, Grande International Hospital

Consultant Radiologist, Department of Radiology and Imaging 

Sabina Parajuli, National Academy of Health Sciences Bir Hospital

Resident Doctor, Department of Pathology

Kapil Dawadi, Grande International Hospital

Consultant Radiologist, Department of Radiology and Imaging 

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Published

2023-06-30

How to Cite

Dahal, P., Parajuli, S., & Dawadi, K. (2023). A tale of wandering T-tube: Complete Duodenal Migration and Successful Retrieval. Nepalese Journal of Radiology, 13(1), 21–23. https://doi.org/10.3126/njr.v13i1.57829

Issue

Section

Case Reports