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痔动脉结扎术后腹腔内直肠穿孔及改行Ligasure开放性痔切除术。

Intra-abdominal rectal perforation post-haemorrhoidal artery ligation operation and converted Ligasure open haemorrhoidectomy.

作者信息

Simon Natalie, Saiyara Noshin, Kim Hyun-Kyung, Gercek Yuksel

机构信息

Bedford Hospital, Bedford Hospital NHS Foundation Trust, Bedford, UK.

出版信息

J Surg Case Rep. 2021 Jul 9;2021(7):rjab289. doi: 10.1093/jscr/rjab289. eCollection 2021 Jul.

Abstract

We report an unfortunate case of rectal perforation and subsequent peritonitis in a 74-year-old lady who underwent haemorrhoidal artery ligation in order to treat complex large external and internal haemorrhoids. Serious complications following haemorrhoid surgery are rare and this is the first documented case of delayed intra-abdominal rectal perforation following a haemorrhoid artery ligation operation and converted Ligasure open haemorrhoidectomy.

摘要

我们报告了一例不幸的病例,一名74岁女性在接受痔动脉结扎术以治疗复杂的大型内外痔后出现直肠穿孔及随后的腹膜炎。痔疮手术后的严重并发症很少见,这是第一例有记录的在痔动脉结扎术及转为Ligasure开放性痔切除术之后发生延迟性腹内直肠穿孔的病例。

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本文引用的文献

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Post hemorrhoidectomy complications: CT imaging findings.痔术后并发症:CT 影像学表现。
Clin Imaging. 2020 Apr;60(2):216-221. doi: 10.1016/j.clinimag.2019.12.015. Epub 2019 Dec 28.
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Haemorrhoids: an update on management.痔疮:管理方面的最新进展
Ther Adv Chronic Dis. 2017 Oct;8(10):141-147. doi: 10.1177/2040622317713957. Epub 2017 Jun 21.
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Rectal perforation secondary to transanal haemorrhoidal dearterialisation.
Ann R Coll Surg Engl. 2017 May;99(5):e154-e155. doi: 10.1308/rcsbull.2017.154.
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Treatment of hemorrhoids: A coloproctologist's view.痔疮的治疗:一位结直肠外科医生的观点。
World J Gastroenterol. 2015 Aug 21;21(31):9245-52. doi: 10.3748/wjg.v21.i31.9245.

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