Abstract
Objective: To report the results of a subtotal hysterectomy and bilateral adnexectomy in a child with congenital adrenal hyperplasia due to 21-hydroxylase deficiency. Design: Case report. Setting: Gynecology department, Afula, Israel. Patient(s): An 11-year-old child with a female genotype and saltwasting type congenital adrenal hyperplasia who was being raised as a boy. Intervention(s): Laparoscopic subtotal hysterectomy and bilateral salpingo-oophorectomy were performed. Main Outcome Measure(s): Surgical efficiency, operating time, recovery, and aesthetic result. Result(s): The procedure was performed without complications in 26 minutes, and the child was dismissed the following day. Three 5-mL abdominal incisions were required. Conclusion(s): 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.
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