Lombana LJ, Baquero D, Valencia V, Bayona JG, Posada E

Language: Spanish
References: 17
Page: 41-44
PDF size: 221.73 Kb.

ABSTRACT

Hemorrhoid disease is one of the most prevalent rectal conditions. It is associated with a significant impact on quality of life. Hemorrhoids usually don't pose diagnostic challenges, and they rarely present with life-threatening complications. Typically, acutely thrombosed hemorrhoids are managed conservatively, and emergency hemorrhoidectomy is seldom needed except in cases complicated by bleeding. Hemorrhoid necrosis is rarely secondary to hemorrhoid disease. We report the case of a patient with hemorrhoid necrosis due to a mucosal prolapse managed with hemorrhoidectomy. Because clinical deterioration occurs fast, a high index of suspicion should be maintained, and emergency surgery is always required.

REFERENCES

1. Lohsiriwat V. Hemorrhoids: from basic pathophysiology to clinical management. World J Gastroenterol. 2012; 18 (17): 2009-2017. doi: 10.3748/wjg.v18.i17.2009.

2. Loder PB, Kamm MA, Nicholls RJ, Phillips RK. Haemorrhoids: pathology, pathophysiology and aetiology. Br J Surg. 1994; 81: 946-954.

3. Alonso-Coello P, Mills E, Heels-Ansdell D, López-Yarto M, Zhou Q, Johanson JF et al. Fiber for the treatment of hemorrhoids complications: a systematic review and meta-analysis. Am J Gastroenterol. 2006; 101 (1): 181-188.

4. Tejirian T, Abbas MA. Sitz bath: where is the evidence? Scientific basis of a common practice. Dis Colon Rectum. 2005; 48 (12): 2336–2340.

5. Alonso-Coello P, Guyatt G, Heels-Ansdell D, Johanson JF, Lopez-Yarto M, Mills E et al. Laxatives for the treatment of hemorrhoids. Cochrane Database Syst Rev. 2005; (4): CD004649.

6. Acheson AG, Scholefield JH. Management of haemorrhoids. BMJ. 2008; 336 (7640): 380-383.

7. Lohsiriwat V. Treatment of hemorrhoids: a coloproctologist's view. World J Gastroenterol. 2015; 21 (31): 9245-9252.

8. Sneider EB, Maykel JA. Diagnosis and management of symptomatic hemorrhoids. Surg Clin North Am. 2010; 90 (1): 17-32.

9. Greenspon J, Williams SB, Young HA, Orkin BA. Thrombosed external hemorrhoids: outcome after conservative or surgical management. Dis Colon Rectum. 2004; 47 (9): 1493-1498.

10. Slauf P, Antos F, Marx J. Complications of hemorrhoids. Rozhl Chir. 2014; 93 (4): 223-225.

11. Sashida Y, Kayo M, Matsuura K, Kuwabara K, Samura H, Dakeshita E. Rectal gangrene. a rare complication of infected hemorrhoid. Nihon Kyukyu Igakukai Zasshi. 2000; 11 (6): 285-288.

12. Lockhart-Mummery JP, Joshi MK. Death from strangulated internal hemorrhoids. Lancet. 1915; 1: 322.

13. Lohsiriwat V. Approach to hemorrhoids. Curr Gastroenterol Rep. 2013; 15 (7): 332.

14. MacRae HM, McLeod RS. Comparison of hemorrhoidal treatments: a meta-analysis. Can J Surg. 1997; 40 (1): 14-17.

15. Shanmugam V, Thaha MA, Rabindranath KS, Campbell KL, Steele RJ, Loudon MA. Rubber band ligation versus excisional haemorrhoidectomy for haemorrhoids. Cochrane Database Syst Rev. 2005; (3): CD005034.

16. Pattana-arun J, Wesarachawit W, Tantiphlachiva K, Atithansakul P, Sahakitrungruang C, Rojanasakul A. A comparison of early postoperative results between urgent closed hemorrhoidectomy for prolapsed thrombosed hemorrhoids and elective closed hemorrhoidectomy. J Med Assoc Thai. 2009; 92 (12): 1610-1615.

17. Shanmugam V, Thaha MA, Rabindranath KS, Campbell KL, Steele RJ, Loudon MA. Systematic review of randomized trials comparing rubber band ligation with excisional haemorrhoidectomy. Br J Surg. 2005; 92 (12): 1481-1487.