Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report

Authors: McCloud, J.M.¹; Doucas, H.¹; Scott, A.D.N.¹; Jameson, J.S.¹

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

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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.

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

Document Type: Case report

DOI: 10.1308/003588407X179134

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

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