Andreuccetti J, Gaj F, Crispino P, Dassatti M R, Negro P
Department of General Surgery and Organ Transplantation, "Sapienza" Università di Roma, Umberto I Policlinico di Roma, Viale del Policlinico 155, 00100, Rome, Italy,
Tech Coloproctol. 2014 Apr;18(4):399-401. doi: 10.1007/s10151-012-0849-y. Epub 2012 Jun 16.
Pile suturing has always been used by surgeons to treat hemorrhoidal disease. We report a case of hemoperitoneum complicating a pile suture. Ultrasonography and computed tomography scan indicated the need for an emergency laparoscopic procedure and conservative management. As other authors have pointed out, we do not know how to prevent this type of complication. This case suggests the possibility of life-threatening complications following treatment procedures for hemorrhoids and underlines the importance of conservative treatment when this is possible.