20.500.12556/DiRROS-25350 Intraluminal migration of a surgical drain near an anastomosis site after total gastrectomy a case report Background: Esophagojejunal anastomotic leakage (EJAL) is a severe complication following gastrectomy for gastric cancer, typically treated with drainage and nutritional support. We report a case of intraluminal drain migration near the esophagojejunal anastomosis (EJA), resulting in persistent drainage and mimicking EJAL after total gastrectomy. Case summary: A 64-year-old male underwent open total gastrectomy with Roux-en-Y reconstruction for gastric adenocarcinoma, with two silicone drains placed near the EJA. On postoperative day (POD) 4, the patient developed signs of peritonitis and sepsis, necessitating surgical re-exploration abscess drainage, peritoneal lavage, and drain repositioning. A contrast swallow study on POD 18 revealed rapid filling of the abdominal drain without extraluminal contrast collection. Persistent drainage prompted an upper gastrointestinal endoscopy on POD 59, which revealed approximately 5 cm of the drain within the esophagus, with the perforation site located 2 cm distal to the intact EJA. The drain was repositioned under endoscopic guidance. A repeat contrast radiograph on POD 67 demonstrated no evidence of extraluminal contrast extravasation or filling of the abdominal drain. The patient was subsequently discharged without further incident. Conclusion: Intraluminal drain migration is a rare complication following gastric surgery but should be considered when persistent drainage occurs. surgical drain gastrectomy true false true Angleški jezik Ni določen Neznano 2026-01-16 14:01:00 2026-01-16 14:01:00 2026-01-17 04:06:09 0000-00-00 00:00:00 2025 0 0 Nasl. z nasl. zaslona; Opis vira z dne 14. 1. 2025; str. 1-6 iss. 12 Vol. 13 2025 0000-00-00 Zaloznikova Objavljeno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 61 2307-8960 10.12998/wjcc.v13.i12.99229 222201859 RAZ_Janez_Jurij_2025.pdf RAZ_Janez_Jurij_2025.pdf 1 45F05BAD9CD79122A68C4D65598E9A0E edbf5a9395ed4fb213d2c5c31e0e043c3fdf25f6190a8aa9ee4600266e49a471 18c88cc7-f2dc-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=38358 https://www.wjgnet.com/2307-8960/full/v13/i12/99229.htm 0 69656fb4-f2db-11f0-a15d-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=38357 Univerzitetni klinični center Ljubljana 0 0 0