Evisceration Through a Drain Site After Urological Procedures: A Report of Two Cases

TL;DR

This paper reports two rare cases of drain-site evisceration after urological procedures, emphasizing the need for careful management of postoperative drain complications.

Contribution

The novelty lies in reporting two unusual delayed cases of drain-site evisceration following urological procedures.

Findings

Drain-site evisceration occurred at eight days and 30 days postoperatively in two patients.

One case required emergency laparotomy and bowel resection, while the other was managed with mesh repair.

Abstract

Drain placement after abdominal surgery remains a common practice despite ongoing controversy regarding its routine use. Although drains may help detect postoperative bleeding or anastomotic leaks, they can also lead to complications. Drain-site evisceration is a rare but potentially life-threatening complication that requires urgent intervention. Most reported cases occur within a few hours to days following drain removal. We report two unusual cases of drain-site evisceration following urological procedures, with delayed presentation at eight days and 30 days postoperatively. One patient presented with small bowel evisceration requiring emergency laparotomy and bowel resection, while the second patient had omental evisceration managed electively with mesh repair. These cases highlight the importance of early recognition, risk factor identification, and meticulous management of drain-site complications.

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