Retained Malecot's Drain Tip after Percutaneous Drainage of Post-transplant Lymphocele: A Case Report
Published: September 1, 2023 | DOI: https://doi.org/10.7860/JCDR/2023/64620.18441
Madhur Anand, Sanchit Rustagi, Uday Pratap Singh, Hira Lal, Aneesh Srivastava
1. Senior Resident, Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
2. Assistant Professor, Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
3. Additional Professor, Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
4. Professor, Department of Radiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
5. Professor, Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Correspondence
Dr. Madhur Anand,
A 1104, Celebrity Greens, Sushant Golf City, Near Damson Plum Hotel, Lucknow-226030, Uttar Pradesh, India.
E-mail: drmadhuronline@gmail.com
Percutaneous drains are commonly used to drain collections in surgical patients. The choice of drain can determine the potential complications. Herein, the authors presented a case of a 32-year-old female with a drain complication and its management in a post-transplant patient. The patient developed a post-transplant perigraft lymphocele and underwent drainage using Malecot’s catheter. However, during the removal of drain, the Malecot catheter accidentally broke, leaving the tip inside the perigraft region. To locate the tip, a non-contrast Computed Tomography (CT) scan was performed. Subsequently, the patient underwent a transperitoneal re-exploration, successfully removing the tip. It was discovered that the catheter tip had ingrown tissue between the prongs, impeding its removal. It is crucial to exercise caution in such situations as Malecot catheters may sometimes have ingrown tissue between the prongs, hindering their removal.
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