Authors: McCloud, J.M.; Doucas, H.; Scott, A.D.N.; Jameson, J.S.

Source: Annals of The Royal College of Surgeons of England, Volume 89, Number 3, April 2007 , pp. 301-302(2)

Publisher: The Royal College of Surgeons of England

Abstract:

Fournier's gangrene has been described after injection sclerotherapy and banding of haemorrhoids as well as after conventional haemorrhoidectomy. In addition, there have been several cases following stapled haemorrhoidopexy. A patient with this complication nearly always presents within the first week following surgery. We present an illustrative case of a patient who underwent stapled haemorrhoidopexy for prolapsed haemorrhoids and presented with fever, urinary retention and peri-anal pain 39 days later. At re-operation, there was extensive peri-anal necrosis. After wide excision and fashioning of a colostomy, the patient recovered. Our case shows that late presentation can occur.

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Keywords: HAEMORRHOIDS; SEPSIS; INFECTION; POSTOPERATIVE COMPLICATION; GANGRENE

Document Type: Case report

DOI: http://dx.doi.org/10.1308/003588407X179134

Affiliations: 1: Department of General Surgery, Leicester Royal Infirmary, Leicester, UK

Publication date: 2007-04-01

More about this publication?

• The Annals of The Royal College of Surgeons of England is the official journal of the College and is published eight times a year in January, March, April, May, July, September, October and November. The main aim of the journal is to publish high quality, peer-reviewed papers that relate to all branches of surgery.
  
  The Annals also includes letters and comments, a regular technical section, NICE news, controversial topics, CORESS feedback, book reviews and the best trainee presentations from England and Wales. The editorial board is composed of members of the College Council and experts from across the surgical specialties.
  
  Archive issues of the Annals of The Royal College of Surgeons of England are available via the PubMed Central database
  
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