Normal post-cholecystectomy T-tube cholangiogram

Case contributed by Dr Henry Knipe


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

Patient Data

Age: 80
Gender: Female

T-tube cholangiogram

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
Published: 3rd Nov 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Excluded

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