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

  • 1Department of Internal Medicine, Pohang St. Mary's Hospital, Pohang, Korea. sehoki@hanmail.net


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.


Catheters; Cholestasis; Drainage; Peritonitis; Endoscopes
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