Relaparoscopy in minor bile leakage after laparoscopic cholecystectomy: an alternative approach?

Purpose: Bile leakage is one of the most important complications of laparoscopic cholecystectomy, and it has been recognized as a major clinical challenge during the last 2 decades. Although endoscopic and percutaneous interventions are widely accepted in the management of bile leakage, relaparoscopy permits the bile drainage adequately and gives direct control of bile leakage site in selected patients.

Methods: Data for patients with minor bile leakage after laparoscopic cholecystectomy were collected from January 2001 to January 2010.

Spontaneous rupture of adrenal pheochromocytoma in a patient with Von Recklinghausen's disease.

Spontaneous rupture of an adrenal pheochromocytoma is extremely rare and can be lethal because of dramatic changes in the circulation. We describe a 35-year-old Iranian female with previously diagnosed von Recklinghausen ' s disease who suffered spontaneous rupture of an adrenal pheochromocytoma, misdiagnosed as renal colic followed by an extensive retroperitoneal hematoma, irreversible hemodynamic shock, and death.