Journal of Emergencies, Trauma, and Shock
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Year : 2010  |  Volume : 3  |  Issue : 2  |  Page : 204-205

Transvaginal evisceration after laparoscopic adrenalectomy in neurofibromatosis

Department of General and Vascular Surgery, M. Mellini Hospital, Chiari (BS), Italy

Correspondence Address:
Nereo Vettoretto
Department of General and Vascular Surgery, M. Mellini Hospital, Chiari (BS)
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0974-2700.62107

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Transvaginal evisceration is a rare complication of hysterectomy. We describe this event following adrenalectomy for pheochromocytoma in a patient affected by neurofibromatosis. This is the first case reported in the literature following laparoscopic surgery. Prompt emergency intestinal reduction and vaginal cuff repair is required to prevent ischemia of the eviscerated bowel. Pneumoperitoneum, passage of stools, or an unknown connective tissue dysplasia due to genetic abnormalities might have contributed to this unpredictable event. The general surgeon must be aware of this rare but challenging gynecological complication.

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