Penrose Drain Migration After Laparoscopic Surgery

  • AbdolReza Pazouki Department of Surgery, Hazrat Rasool Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Karamollah Toolabi Department of Surgery, Hazrat Rasool Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Leila Zahedi Shoolami Department of Surgery, Hazrat Rasool Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Seyed Ahmad Fanaii Department of Surgery, Hazrat Rasool Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
  • Mohammad Vaziri Mail Department of Surgery, Hazrat Rasool Hospital, School of Medicine, Iran University of Medical Sciences, Tehran, Iran.
Keywords:
Laparoscopy, complication, foreign body

Abstract

Laparoscopy has made a revolution in surgical procedures and treatment of various diseases but its complications are still under investigation. Intra-abdominal visceral and vessel injuries, trocar site hernia, and leaving foreign bodies into the peritoneal cavity are among some laparoscopic surgery complications. This is a rare report of Penrose drain migration following incomplete laparoscopic Fundoplication surgery. The patient was a 47- year- old woman, who was a candidate for Touplet Fundoplication via laparoscopic approach due to refractory gastro-esophageal reflux disease (GERD). While wrapping a Penrose drain around the esophagus, the patient had a cardiorespiratory arrest. Attempts to remove the Penrose drain were unsuccessful and the surgical procedure was terminated due to patient's condition. Four months later, after a long period of dysphagia and abdominal pain, the Penrose drain was defecated via rectum.

References

Kane MG, Krejs GJ. Complications of diagnostic laparoscopy in Dallas: a 7-year prospective study. Gastrointest Endosc 1984; 30(4): 237-40.

Ahn SI, Lee KY, Kim SJ, Cho EH, Choi SK, Hur YS, et al. Surgical clips found at the hepatic duct after laparoscopic cholecystectomy: a possible case of clip migration. Surg Laparosc Endosc Percutan Tech 2005; 15(5): 279-82.

Yoshizumi T, Ikeda T, Shimizu T, Ohta S, Nagata S, Sonoda T, et al. Clip migration causes choledocholithiasis after laparoscopic cholecystectomy. Surg Endosc 2000; 14(12): 1188.

Mouzas IA, Petrakis I, Vardas E, Kogerakis N, Skordilis P, Prassopoulos P. Bile leakage presenting as acute abdomen due to a stone created around a migrated surgical clip. Med Sci Monit 2005; 11(3): CS16-8.

Yao CC, Wong HH, Chen CC, Wang CC, Yang CC, Lin CS. Migration of endoclip into duodenum. A rare complication after laparoscopic cholecystectomy. Surg Endosc 2001;15(2): 217.

Alberts MS, Fenoglio M, Ratzer E. Recurrent common bile duct stones containing metallic clips following laparoscopic common bile duct exploration. J Laparoendosc Adv Surg Tech A 1999; 9(5): 441-4.

Anast JW, Stoller ML, Meng MV, Master VA, Mitchell JA, Bassett WW, et al. Differences in complications and outcomes for obese patients undergoing laparoscopic radical, partial or simple nephrectomy. J Urol 2004; 172(6 Pt 1): 2287-91.

Lone GN, Bhat AH, Tak MY, Garcoo SA. Transdiaphragmatic migration of forgotten gauze sponge: an unreported entity of lung abscess. Eur J Cardiothorac Surg 2005; 28(2): 355-7.

Stroh C, Hohmann U, Arnold F, Manger T. Band migration. A late complication of gastric banding. Chirurg 2005; 76(7): 689-95.

How to Cite
1.
Pazouki A, Toolabi K, Zahedi Shoolami L, Fanaii SA, Vaziri M. Penrose Drain Migration After Laparoscopic Surgery. Acta Med Iran. 47(2):159-160.
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Articles