{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T19:00:59Z","timestamp":1775588459613,"version":"3.50.1"},"reference-count":15,"publisher":"Georg Thieme Verlag KG","issue":"03","license":[{"start":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T00:00:00Z","timestamp":1631577600000},"content-version":"vor","delay-in-days":75,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Common bile duct (CBD) exploration by surgical method\u2014open or laparoscopic, traditionally involved using a T tube to take care of postoperative intraluminal pressure and edema. The complications of T tube include bile leak after removal, formation of biliary fistula, excoriation of the skin, dehydration, saline depletion, retained T tube fragment, CBD obstruction, cholangitis, pancreatitis, and duodenal erosion. Here, we report a case of retained T tube fragment after an attempted removal in an operated case of choledocholithiasis, which was managed by endoscopic retrograde cholangiopancreatography and balloon catheter removal of the remnant.<\/jats:p>","DOI":"10.1055\/s-0041-1735643","type":"journal-article","created":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T23:02:58Z","timestamp":1631660578000},"page":"e251-e254","source":"Crossref","is-referenced-by-count":2,"title":["Fractured T Tube Fragment in Common Bile Duct during Retrieval: An Unforeseen Mishap"],"prefix":"10.1055","volume":"07","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9630-2932","authenticated-orcid":false,"given":"Deepak","family":"Rajput","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2726-3516","authenticated-orcid":false,"given":"Itish","family":"Patnaik","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4588-3436","authenticated-orcid":false,"given":"Sruthi","family":"Shasheendran","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9878-9684","authenticated-orcid":false,"given":"Beeram K. Prasanna","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Medical Gastroenterology, All India Institute of Medical Sciences, Rishikesh, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4847-4120","authenticated-orcid":false,"given":"Amit","family":"Gupta","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Rishikesh, Dehradun, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,9,14]]},"reference":[{"issue":"07","key":"ref1","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1136\/gut.2007.121657","article-title":"Guidelines on the management of common bile duct stones (CBDS)","volume":"57","author":"E J Williams","year":"2008","journal-title":"Gut"},{"issue":"03","key":"ref2","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1046\/j.1445-2197.2002.02341.x","article-title":"Complications of biliary T-tubes","volume":"72","author":"R W Strong","year":"2002","journal-title":"ANZ J Surg"},{"issue":"66","key":"ref3","first-page":"1666","article-title":"Removing a biliary T-tube and retained stones by ERCP. A case report","volume":"52","author":"M Heikkinen","year":"2005","journal-title":"Hepatogastroenterology"},{"key":"ref4","first-page":"328","article-title":"Delayed cholangitis due to a retained T tube fragment","volume":"68","author":"S Kourosh","year":"2006","journal-title":"Indian J Surg"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1067\/mge.2001.117960","article-title":"Broken T-tube branch causing bile duct stone","volume":"54","author":"F Froehlich","year":"2001","journal-title":"Gastrointest Endosc"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1016\/S0016-5107(94)70179-2","article-title":"Endoscopic retrieval of a biliary T-tube remnant","volume":"40","author":"H Thors","year":"1994","journal-title":"Gastrointest Endosc"},{"issue":"04","key":"ref7","first-page":"180","article-title":"Asymptomatic T-tube remnant in common bile duct","volume":"18","author":"A Rozario","year":"1999","journal-title":"Indian J Gastroenterol"},{"issue":"07","key":"ref8","doi-asserted-by":"crossref","first-page":"700","DOI":"10.1055\/s-2007-963720","article-title":"A 9-year retained T-tube fragment encased within a stone as a rare cause of jaundice","volume":"46","author":"A Hoffman","year":"2008","journal-title":"Z Gastroenterol"},{"issue":"04","key":"ref9","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1007\/s00464-001-4235-5","article-title":"Delayed cholangitis resulting from a retained T-tube fragment encased within a stone: a rare complication","volume":"16","author":"A Haq","year":"2002","journal-title":"Surg Endosc"},{"issue":"02","key":"ref10","first-page":"126","article-title":"A 36-year retained T-tube fragment presenting with cholangitis","volume":"2","author":"T Sharma","year":"2009","journal-title":"Gastroenterol Res"},{"issue":"09","key":"ref11","first-page":"772","article-title":"Retained T-tube fragment: removal using a Gruntzig balloon dilatation catheter","volume":"79","author":"M C McCarthy","year":"1986","journal-title":"Indiana Med"},{"issue":"09","key":"ref12","first-page":"1005","article-title":"Retained T-tube fragment: removal using ERCP with papillotomy","volume":"83","author":"P Mapelli","year":"1988","journal-title":"Am J Gastroenterol"},{"issue":"07","key":"ref13","first-page":"194","article-title":"Removal of a retained T-tube from the common bile duct","volume":"47","author":"S R Muhammad","year":"1997","journal-title":"J Pak Med Assoc"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"bcr07.2008.0356","DOI":"10.1136\/bcr.07.2008.0356","article-title":"Endoscopic removal of retained T-tube fragment","volume":"2009","author":"T S Chandrasekar","year":"2009","journal-title":"BMJ Case Rep"},{"issue":"01","key":"ref15","doi-asserted-by":"crossref","first-page":"108","DOI":"10.1016\/S0016-5107(93)70035-8","article-title":"Endoscopic removal of a retained T tube","volume":"39","author":"Y Tekant","year":"1993","journal-title":"Gastrointest Endosc"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0041-1735643.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,14]],"date-time":"2021-09-14T23:03:32Z","timestamp":1631660612000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0041-1735643"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":15,"journal-issue":{"issue":"03","published-online":{"date-parts":[[2021,7,19]]},"published-print":{"date-parts":[[2021,7]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0041-1735643","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}