Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Techniques in Coloproctology
Published in: Techniques in Coloproctology 4/2012

01-08-2012 | Case Report

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

Authors: G. De Santis, P. Gola, L. Lancione, F. Sista, R. Pietroletti, S. Leardi

Published in: Techniques in Coloproctology | Issue 4/2012

Login to get access

Abstract

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.
Literature
1.
Giordano P, Gravante G, Sorge R, Ovens L, Nastro P (2009) Long-term outcomes of stapled hemorrhoidopexy vs conventional hemorrhoidectomy: a meta-analysis of randomized controlled trials. Arch Surg 144:266–272PubMedCrossRef
2.
Mehigan BJ, Monson JR, Hartley JE (2000) Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial. Lancet 355:782–785PubMedCrossRef
3.
Naldini G (2011) Serious unconventional complications of surgery with stapler for haemorrhoidal prolapse and obstructed defaecation because of rectocoele and rectal intussusception. Colorectal Dis 13:323–327PubMedCrossRef
4.
Cirocco WC (2008) Life threatening sepsis and mortality following stapled henorrhoidopexy. Surgery 143:824–829PubMedCrossRef
5.
Kornaros S, Dalamangas K, Zisi-Sermpetzoglou A (2011) Fulminant Intra-Abdominal Sepsis after Stapled Hemorrhoidectomy. Surg Infect 12:145–148
6.
Pescatori M, Gagliardi G (2008) Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 12:7–19PubMedCrossRef
7.
Blouhos K, Vasiliadis K, Tsalis K, Botsios D, Vrakas X (2007) Uncontrollable intra-abdominal bleeding necessitating low anterior resection of the rectum after stapled hemorrhoidopexy: report of a case. Surg Today 37:254–257PubMedCrossRef
8.
Augustin G, Smud D, Kinda E et al (2009) Intra-abdominal bleeding from a seromuscolar tear of an ascending rectosigmoid intramural hematoma after stapled hemorrhoidopexy. Can J Surg 52:E14–E15PubMed
9.
Aumann G, Petersen S, Pollack T, Hellmich G, Ludwig K (2004) Severe intra-abdominal bleeding following stapled mucosectomy due to enterocele: report of a case. Tech Coloproctol 8:41–43PubMedCrossRef
10.
Vasudevan SP, Mustafa el A, Gadhvi VM, Jhaldiyal P, Saharay M (2007) Acute intestinal obstruction following stapled haemorrhoidopexy. Colorectal Dis 9:668–669PubMedCrossRef
11.
Büyükaşik O, Hasdemir OA, Cöl C (2009) Rectal lumen obliteration from stapled hemorrhoidopexy: can it be prevented? Tech Coloproctol 13:333–335PubMedCrossRef
12.
Serventi A, Rassu PC, Giaminardi E, Vitali GC, Brigli G (2010) Fecaloma in an iatrogenic diverticulum: an unusual complication of the procedure for prolapsed hemorrhoids (PPH). Tech Coloproctol 14:371–372PubMedCrossRef
13.
Khubchandani I, Fealk MH, Reed JF 3rd (2009) Is there a post-PPH syndrome? Tech Coloproctol 13:141–144PubMedCrossRef
14.
Jayaraman S, Colquhoun PH, Malthaner RA (2006) Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev CD005393
Metadata
Title
Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy
Authors
G. De Santis
P. Gola
L. Lancione
F. Sista
R. Pietroletti
S. Leardi
Publication date
01-08-2012
Publisher
Springer Milan
Published in
Techniques in Coloproctology / Issue 4/2012
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-011-0696-2

Other articles of this Issue 4/2012

Techniques in Coloproctology 4/2012 Go to the issue

Original Article

Applicability, safety and efficiency of outpatient treatment in uncomplicated diverticulitis

Correspondence

Impact of a best clinical therapy management on surgery for ulcerative colitis

The Last Image

Excision of giant condyloma and V–Y flap reconstruction

Book Review

Ileoscopy: technique, diagnosis and clinical applications

Original Article

The influence of mechanical bowel preparation in elective colorectal surgery for diverticulitis

Original Article

Facilitated early ileostomy closure after rectal cancer surgery: a case-matched study