Abstract
BackgroundIntraluminal migration of a drain through an anastomotic site is a rare complication of gastric surgery.Case PresentationWe herein report the intraluminal migration of a drain placed after a lower esophagectomy and total gastrectomy with Roux-en-Y anastomosis for gastric small cell carcinoma. Persistent drainage was noted 1 month after surgery, and radiographic studies were consistent with drain tube migration. Endoscopy revealed the drain had migrated into the esophagojejunostomy anastomotic site. The drain was removed from outside of abdominal wound while observing the anastomotic site endoscopically. The patient was treated with suction via a nasogastric tube drain for 5 days, and thereafter had an uneventful recovery.ConclusionsThough drain tube migration is a rare occurrence, it should be considered in patients with persistent drainage who have undergone gastric surgery.
Highlights
Intraluminal migration of a drain through an anastomotic site is a rare complication of gastric surgery.Case Presentation: We report the intraluminal migration of a drain placed after a lower esophagectomy and total gastrectomy with Roux-en-Y anastomosis for gastric small cell carcinoma
Though drain tube migration is a rare occurrence, it should be considered in patients with persistent drainage who have undergone gastric surgery
Intraluminal migration of a drain through an anastomotic site is a rare complication of gastric surgery [1]
Summary
Intraluminal migration of a drain through an anastomotic site is a rare complication of gastric surgery [1]. Approximately 80 ml of yellowishwhite, foamy, foul smelling fluid was collecting from the drain tube each day This drainage persisted for 1 month after surgery. Because the amount of drainage did not decrease over the course of a month, we were concerned about the integrity of the anastomosis, and decided to check the esophagojejunostomy anastomotic site endoscopically. In this case, visualization of the anastomotic site endoscopically allowed us to confirm the integrity of the anastomosis after the drain was removed and determine that surgical correction was not required. The patient discussed in this report provided informed consent for all treatments rendered and consent for the publication of this case report and the use of radiological images
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