Hepatic-cell adenoma presenting with intraperitoneal haemorrhage in the puerperium.

Abstract

incarceration at the site of laparoscope insertion that resulted in intestinal obstruction, and claimed that this was the first report of this complication of laparoscopy.Both patients eventually needed small bowel resection, 14 and 21 days after laparoscopy.These two patients, and the one described above, were initially well after laparoscopy and then started to vomit on the third and the sixth days after laparoscopy.Thompson and Wheeless' reported that burns or traumatic injury typically present between the third and seventh post-laparoscopic day and then need urgent surgical treatment.They recorded 11 bowel injuries in a series of 3600 laparoscopic sterilisations.Thus, obstructive symptoms occurring a week or more after laparoscopy may be due to bowel incarceration at the site of laparo- scope insertion.Herniation may occur at the site of laparoscopic insertion, and Bishop and Halpin5 reported protrusion of omentum through an infraumbilical laparoscopy incision.This occurred on the third post-laparoscopy day after a coughing bout.These three reports of herniation and one of protrusion at the site of laparoscope insertion were all associated with either 11 or 12 mm- diameter instruments.These rare complications might be eliminated if smaller diameter instruments, which are available, were used.