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Strangulated small bowel evisceration after intraperitoneal drainage.

A Pelayo Salas1, L Perez Ruiz, A Fermiñán Rodriguez

  • 1Department of General Surgery, Hospital University Arnau de Vilanova, School of Medicine, Lleida University, Lleida, Spain. angel.pelayo@wanadoo.es

Minerva Chirurgica
|September 17, 2005
PubMed
Summary

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An exceptional case of strangulated small bowel evisceration occurred through intraperitoneal drainage post-cholecystectomy. Careful drain placement and using smaller drains can prevent this rare surgical complication.

Area of Science:

  • Gastroenterology
  • Surgical Complications

Background:

  • Open cholecystectomy is a common surgical procedure.
  • Intraperitoneal drains are sometimes used after abdominal surgery.

Observation:

  • A rare complication involving strangulated small bowel evisceration through an intraperitoneal drain was observed.
  • This occurred in a patient following an open cholecystectomy.

Findings:

  • Small bowel evisceration through an intraperitoneal drain is a recognized but infrequent complication.
  • The case highlights the importance of meticulous drain management.

Implications:

  • Careful consideration of drain placement is crucial to prevent such adverse events.
  • Utilizing drains with smaller external diameters (under 10 mm) may reduce the risk of evisceration.

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