• Kamana Subba, Neil Gupta, Jacqueline Woodman, and Vandana Dhingra.
• Department of Obstetrics and Gynaecology, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, United Kingdom.
• JNMA J Nepal Med Assoc. 2023 Oct 1; 61 (266): 814818814-818.

UnlabelledIatrogenic retention of surgical drains following drain entrapment and breakage is a never event and a preventable complication. The traditional approach for removing a fractured drain from the intra-peritoneal cavity involves exploratory laparotomy. However, over the last few decades, minimal access surgery has been a more popular retrieval method for retained surgical items from peritoneal and extraperitoneal cavities. We report a case of a 32-year-old woman with a fractured pelvic drain post-caesarean section. Postoperatively, the patient developed the signs of infection and features of bowel obstruction. The mechanical obstruction was ruled out by computed tomography scan. Multiple attempts were made to pull the pelvic drain out but the tube snapped, leaving about a quarter of its length. The drain remnant was retrieved using a non-invasive, inexpensive interventional radiology technique. We could not find any such report in the literature describing this innovative approach for retrieving a fractured pelvic drain.Keywordscase report; drain fragment retrieval; fractured pelvic drain; pelvic drain remnant.

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