Self-Knotting of the Feeding Jejunostomy Tube: An Extremely Rare Complication

Abstract

Corresponding Author: Dr Keyur Bhatt Email: drkeyurbhatt@gmail.com Self-Knotting of the Feeding Jejunostomy Tube: An Extremely Rare Complication with the surgery. Through a Makuuchi incision, the abdominal cavity was entered. The umbilical hydatid was removed completely. An abdominal wall defect wasnoted corresponding to the location of the umbilical hydatid cyst and it was repaired to prevent any herniation. The liver hydatid was opened, contents aspirated and the wall was removed in fragments. Agenesis of the right lobe of liver was noted during the surgery and this was confirmed by the absence of liver to the right of gallbladder. There was compensatory enlargement of the left lobe of liver. However, no other anatomical anomalies were found. The hydatid cyst had occupied the space available due to agenesis of right lobe of liver and it had made a biliary communication resulting in death and calcification of the larva. The biliary communication was carefully closed with polydioxanone suture. A cholecystectomy was also done.