Rectal perforation after laser hemorrhoidoplasty: a case report

This case report outlines the intricate management of rectal perforation following laser hemorrhoidoplasty in a 31-year-old female, leading to an acute abdomen, sepsis, and multiorgan failure. Urgent laparoscopic exploration and the establishment of a double-loop colostomy were undertaken, marking t...

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Bibliographic Details
Published in:Techniques in coloproctology 2024-12, Vol.28 (1), p.65, Article 65
Main Authors: Smets, Q., Gaillard, M., Van de Weijer, M., Komen, N.
Format: Article
Language:English
Subjects:
Abdomen
Abdominal Surgery
Adult
Case reports
Colorectal Surgery
Colostomy
Female
Gastroenterology
Hemorrhoidectomy - adverse effects
Hemorrhoidectomy - methods
Hemorrhoids - surgery
Humans
Intestinal Perforation - etiology
Intestinal Perforation - surgery
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Laser Therapy - adverse effects
Laser Therapy - methods
Medicine
Medicine & Public Health
Postoperative Complications - etiology
Postoperative Complications - surgery
Proctology
Rectum - injuries
Rectum - surgery
Sepsis
Surgery
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Summary:This case report outlines the intricate management of rectal perforation following laser hemorrhoidoplasty in a 31-year-old female, leading to an acute abdomen, sepsis, and multiorgan failure. Urgent laparoscopic exploration and the establishment of a double-loop colostomy were undertaken, marking the beginning of a complex course characterized by relapsed pelvic sepsis. Laser hemorrhoidoplasty has gained widespread acceptance for its minimally invasive approach in treating hemorrhoids. Remarkably, to our knowledge, the case we present is the first major complication reported after laser hemorrhoidoplasty, likely attributed to collateral thermic and mechanical tissue damage.
ISSN:1123-6337
1128-045X
1128-045X
DOI:10.1007/s10151-024-02939-x