2010 Volume 24 Issue 2 Pages 209-212
A 39-year-old man was admitted to our hospital with a hepatic abscess and adenomyomatosis of the gallbladder. A 7-Fr pig-tail catheter was inserted into the abscess through a right intercostal space. On 32 days after drainage, the abscess was improved, and the catheter was removed. Although, the catheter ruptured at the abdominal wall and remained in the liver. An emergency laparotomy was performed. The wreckage of the catheter was removed and cholecystectomy was performed. The postoperative course was uneventful, and the patient was discharged on postoperative day 15. In percutaneous transhepatic drainage, catheter migration and bleeding are familiar complications. In our case, the catheter ruptured as a result of gradual bending over time. It is important to avoid leaving the same catheter in place for long periods of time by regularly replacing it. Careful examination is necessary to avoid the catheter twisting and bending.
