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[Choledocholithiasis caused by iatrogenic choledochus drainage--case report].

K D Schiebold, R Gatzke

    Deutsche Zeitschrift Fur Verdauungs- Und Stoffwechselkrankheiten
    |January 1, 1983
    PubMed
    Summary

    A forgotten biliary drainage tube was discovered during a relaparotomy for choledocholithiasis 15 years after cholecystectomy. This case highlights potential long-term complications of retained surgical materials in biliary tract surgery.

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    Area of Science:

    • Gastroenterology
    • Surgical Complications
    • Medical Device Management

    Background:

    • Choledocholithiasis, the presence of gallstones in the common bile duct, is a known complication following cholecystectomy.
    • Retained surgical items, though rare, can lead to significant patient morbidity years after initial procedures.

    Observation:

    • A patient presented with symptoms of choledocholithiasis 15 years post-cholecystectomy.
    • During a subsequent relaparotomy, a previously placed biliary drainage tube, which had been inadvertently left in situ, was identified.

    Findings:

    • The forgotten drainage tube was the likely source or contributing factor to the recurrent biliary pathology.
    • Delayed diagnosis of retained surgical materials can complicate management and patient outcomes.

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    Implications:

    • This case underscores the critical importance of meticulous surgical documentation and retrieval policies for all intraoperative devices.
    • Awareness of potential long-term sequelae from retained biliary drainage tubes is essential for clinicians managing post-cholecystectomy patients.
    • Improved surgical checklists and imaging protocols may help prevent such occurrences.