Korean J Pancreas Biliary Tract.  2016 Apr;21(2):107-111. 10.15279/kpba.2016.21.2.107.

Peritonitis Caused by Internal Migration of the Percutaneous Transhepatic Biliary Drainage Catheter

• Ahn SH
• Ki SH
• Oh CY
• Cho WH
• Lee JH
• Lee YS
• Lee HJ

• KMID: 2448523
• DOI: http://doi.org/10.15279/kpba.2016.21.2.107

Abstract

Percutaneous transhepatic biliary drainage (PTBD) is a modality that is used to decompress obstructive jaundice due to impacted stones, benign stricture or cancer. The PTBD catheter is removed percutaneously after the restoration of internal biliary drainage. We experienced a case of a 62-year-old man with peritonitis due to the migration of the PTBD catheter into the peritoneal cavity; we successfully removed it using peroral endoscopy. Although rare, the PTBD catheter may migrate into the peritoneal cavity during the removal of it. In these cases, clinicians should consider the peroral endoscopic removal of the PTBD catheter.

Keyword

Catheters; Cholestasis; Drainage; Peritonitis; Endoscopes

MeSH Terms

Catheters*
Cholestasis
Constriction, Pathologic
Drainage*
Endoscopes
Endoscopy
Humans
Jaundice, Obstructive
Middle Aged
Peritoneal Cavity
Peritonitis*