Open AccessTransvaginal evisceration after laparoscopic adrenalectomy in neurofibromatosis
Author(s) -
Nereo Vettoretto,
Luca Balestra,
Lucio Taglietti,
M Giovanetti
Publication year - 2010
Publication title -
journal of emergencies, trauma and shock
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.313
H-Index - 29
eISSN - 0974-519X
pISSN - 0974-2700
DOI - 10.4103/0974-2700.62107
Subject(s) - medicine , evisceration (ophthalmology) , surgery , complication , hysterectomy , laparoscopy , neurofibromatosis , pneumoperitoneum , general surgery , radiology , alternative medicine , pathology
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.