European Journal of Pediatric Surgery Reports (Mar 2014)

Abdominal Cellulitis following a Laparoscopic Procedure: A Rare and Severe Complication

  • Arnaud Bonnard,
  • Jean Baptiste Terrasa,
  • Jerome Viala,
  • Sophie Aizenfisz,
  • Dominique Berrebi,
  • Alaa El Ghoneimi

DOI
https://doi.org/10.1055/s-0033-1363777
Journal volume & issue
Vol. 02, no. 01
pp. 067 – 070

Abstract

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Abstract Advantages of laparoscopic approach in Hirschsprung disease have been already published decreasing the hospital stay and postoperative adhesions. To our knowledge, we report the first case of postoperative abdominal cellulitis after laparoscopic procedure. A laparoscopic Duhamel pull through was done on a 3-month-old child. Full-thickness biopsy under laparoscopy was performed with intraperitoneal inoculation. Large peritoneal irrigation was used. Abdominal necrotizing cellulitis starting from a port site occurred few days after the procedure requiring repeat surgical excision, broad spectrum antibiotics, and hyperbaric oxygen.

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