Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy

Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperito...

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Bibliographic Details
Published in:Techniques in coloproctology 2012-08, Vol.16 (4), p.315-317
Main Authors: De Santis, G., Gola, P., Lancione, L., Sista, F., Pietroletti, R., Leardi, S.
Format: Article
Language:English
Subjects:
Abdominal Surgery
Case Report
Colorectal Surgery
Gastroenterology
Hematoma - etiology
Hemoperitoneum - etiology
Hemorrhoidectomy - methods
Humans
Intestinal Perforation - etiology
Male
Medicine
Medicine & Public Health
Middle Aged
Postoperative Complications
Proctology
Sigmoid Diseases - etiology
Surgery
Surgical Stapling
Tomography, X-Ray Computed
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Summary:Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was established at CT scan and treatment consisted of drainage, suturing, and diverting colostomy. This reported case is the ninth described in the literature, but, so far, it is not known what preventive measures to use in order to avoid such a rare complication. Adoption of a correct surgical technique remains the step of utmost importance in order to prevent such a severe postoperative complication.
ISSN:1123-6337
1128-045X
DOI:10.1007/s10151-011-0696-2