Laparoscopic subtotal hysterectomy and bilateral adnexectomy in a child with congenital adrenal hyperplasia.
OBJECTIVE
To report the results of a subtotal hysterectomy and bilateral adnexectomy in a child with congenital adrenal hyperplasia due to 21-hydroxylase deficiency.


METHODS
Case report.


METHODS
Gynecology department, Afula, Israel.


METHODS
An 11-year-old child with a female genotype and saltwasting type congenital adrenal hyperplasia who was being raised as a boy.


METHODS
Laparoscopic subtotal hysterectomy and bilateral salpingo-oophorectomy were performed.


METHODS
Surgical efficiency, operating time, recovery, and aesthetic result.


RESULTS
The procedure was performed without complications in 26 minutes, and the child was dismissed the following day. Three 5-mL abdominal incisions were required.


CONCLUSIONS
Laparoscopic subtotal hysterectomy and bilateral adnexectomy can be safely performed in children and is the procedure of choice in the rare cases in which it is indicated.
Weiss
A
A
Department of Obstetrics and Gynecology, HaEmek Medical Center, Afula, Israel.
Bustan
M
M
Rakover
Y
Y
Shalev
E
E
D000312:Adrenal Hyperplasia, Congenital / Q000235:genetics / Q000523:psychology / Q000601:surgery*; D002648:Child; D005260:Female; D005838:Genotype; D006801:Humans; D007044:Hysterectomy; D008297:Male; D010052:Ovariectomy