Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report.
作者信息
McCloud J M, Doucas H, Scott A D N, Jameson J S
机构信息
Department of General Surgery, Leicester Royal Infirmary, Leicester, UK.
出版信息
Ann R Coll Surg Engl. 2007 Apr;89(3):301-2. doi: 10.1308/003588407X179134.
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.
摘要
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