Publication: Percutaneous Fluoroscopy-guided Retrieval of a Fractured Pelvic Drain after Caesarean Section: A Case Report
Date
2023
Journal Title
Journal ISSN
Volume Title
Publisher
Nepal Medical Association
Abstract
Abstract
Iatrogenic retention of surgical drains following drain entrapment and breakage is a never event and a preventable complication. The traditional approach for removing a fractured drain from the intra-peritoneal cavity involves exploratory laparotomy. However, over the last few decades, minimal access surgery has been a more popular retrieval method for retained surgical items from peritoneal and extraperitoneal cavities. We report a case of a 32-year-old woman with a fractured pelvic drain post-caesarean section. Postoperatively, the patient developed the signs of infection and features of bowel obstruction. The mechanical obstruction was ruled out by computed tomography scan. Multiple attempts were made to pull the pelvic drain out but the tube snapped, leaving about a quarter of its length. The drain remnant was retrieved using a non-invasive, inexpensive interventional radiology technique. We could not find any such report in the literature describing this innovative approach for retrieving a fractured pelvic drain.
Description
Kamana Subba
Department of Obstetrics and Gynaecology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom
Neil Gupta
Department of Interventional Radiology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom
Jacqueline Woodman
Department of Obstetrics and Gynaecology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom
Vandana Dhingra
Department of Obstetrics and Gynaecology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom