Normal post-cholecystectomy T-tube cholangiogram

Case contributed by Dr Henry Knipe

Presentation

Post laparoscopic cholecystectomy. T-tube inserted for retrieval of common duct stones ?bile leak.

Patient Data

Age: 80
Gender: Female

T-tube cholangiogram

Modality: Fluoroscopy

T-tube and surgical drain tube noted. Surgical clips in the region of the cystic duct remnant. No filling defect or contrast leak identified. Contrast reaches the duodenum. Extensive costal cartilage calcification noted. 

Case Discussion

T-tubes are placed to allow for choledochotomy and exploration of the common bile duct in the setting of cholecystectomy for gallstones. They can be complicated by bile leak (~5%), fistula formation, peritonitis/sepsis, and tube failure/malposition, 

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Case Information

rID: 31881
Case created: 2nd Nov 2014
Last edited: 3rd Sep 2015
Inclusion in quiz mode: Excluded

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