General Surgery Unit, Department of Surgical Sciences, L'Aquila University, Piazza. S.Tommasi, 1, 00167, L'Aquila, Italy.
Tech Coloproctol. 2012 Aug;16(4):315-7. doi: 10.1007/s10151-011-0696-2. Epub 2011 Jun 16.
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.
吻合器痔固定术是一种广泛应用于治疗痔疮的手术方法，但已有严重并发症的报道。作者报告了一例罕见的吻合器痔固定术后升结肠壁内广泛血肿病例，并发穿孔和腹膜血肿。诊断依据 CT 扫描，治疗包括引流、缝合和结肠造口术。该病例是文献中描述的第九例，但迄今为止，尚不清楚应采取何种预防措施来避免这种罕见的并发症。采用正确的手术技术仍然是预防这种严重术后并发症的最重要步骤。
