Discussion
Such anchored tube through the drain is a rare condition. To our
knowledge this is the first case reported in the history. Though, other
complications of drain getting entangled with intra abdominal
structures, bleeding, intestinal loop strangulation or site evisceration
have been reported.3,4Some cases may
have been under-reported for the fear of medico-legal
complaints.5, 6
In previous reported cases ,bowel loop and omentum were stuck in the
drain tube.3,5 Also, Richter-type
hernia was formed after the loop of bowel was caught in knotted drain
tube.7 In this case, fallopian tube got stuck.
Salpingectomy was done in right side but drain was kept in left side. It
might not have been stuck if the drain was kept on same side of
salpingectomy. Delayed intervention might have lead to trauma or
necrosis of the fallopian tube. Furthermore the drain must not be pulled
vigorously to avoid the trauma. Drain should only be kept when
absolutely indicated. Otherwise, it’s wise to avoid drain placement to
avoid such complication.