Multiple Common Bile Duct and Gallbladder Stones Treated with T-Tube Drainage

Authors : Deniz ÖCAL

Pages : 57-60

View : 32 | Download : 43

Publication Date : 2023-06-22

Article Type : Other Papers

Abstract :This case report presents the treatment process with T-tube drainage of a patient with multiple common bile duct and gallbladder stones. A twenty-nine-year-old female had abdominal pain, nausea, and vomiting for about three days. The patient had twice a history of removing common bile duct stones with endoscopic retrograde cholangiopancreatography insert ignore into journalissuearticles values(ERCP);. She had right upper quadrant pain and defence on deep palpation on the physical examination of the abdomen. In the laboratory, she had increased a c-reactive protein level insert ignore into journalissuearticles values(CRP); insert ignore into journalissuearticles values(9.4 mg/L); and a gamma-glutamyl transferase level insert ignore into journalissuearticles values(65 U/L);. Magnetic resonance cholangiopancreatography insert ignore into journalissuearticles values(MRCP); showed multiple calculi on the gall bladder and common bile duct. Surgery was planned for the patient because of the large number of stones in the common bile duct. The surgery started laparoscopically, but laparotomy was performed due to laparoscopic difficulty. Seven stones were removed from the common bile duct, and a T-tube was placed in the common bile duct. Since contrast extravasation and obstructive pathology were not detected in T-tube cholangiography performed on the 15th postoperative day, the T-tube was removed. The patient was discharged on the 17th postoperative day without complications.
Keywords : Cholangiographies, Cholelithiasis, common bile duct