Skip to main content

Advertisement

Log in

Hemoperitoneum: a rare complication of hemorrhoid treatment

  • Case Report
  • Published:
Techniques in Coloproctology Aims and scope Submit manuscript

Abstract

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1

References

  1. Farag AE (1978) Pile suture: a new technique for the treatment of haemorrhoids. Br J Surg 65:293–295

    Article  PubMed  CAS  Google Scholar 

  2. van Wensen RJ, van Leuken MH, Bosscha K (2008) Pelvic sepsis after stapled hemorrhoidopexy. World J Gastroenterol 14:5924–5926

    Article  PubMed Central  PubMed  Google Scholar 

  3. Aumann G, Petersen S, Pollack T, Hellmich G, Ludwing K (2004) Severe intra-abdominal bleeding following stapled mucosectomy due to enterocele: report of a case. Tech Coloproctol 8:41–43

    Article  PubMed  CAS  Google Scholar 

  4. Blouhos K, Vasiliadis K, Tsalis K, Botsios D, Vrakas X (2007) Uncontrollable intra-abdominal bleeding necessitating low anterior resection of the rectum after stapled hemorrhoidopexy: report of a case. Surg Today 37:254–257

    Article  PubMed  Google Scholar 

  5. Pescatori M (2002) Stapled hemorrhoidectomy: a word of caution. Int J Colorectal Dis 17:362–363

    Article  PubMed  Google Scholar 

  6. Augustin G, Smud D, Kinda E et al (2009) Intra-abdominal bleeding from a seromuscular tear of an ascending rectosigmoid intramural hematoma after stapled hemorrhoidopexy. Can J Surg 52:E14–E15

    PubMed Central  PubMed  Google Scholar 

  7. Maw A, Eu KW, Seow-Choen F (2002) Retroperitoneal sepsis complicating stapled hemorrhoidectomy: report of a case and review of the literature. Dis Colon Rectum 45:826–828

    Article  PubMed  Google Scholar 

  8. Ravo B, Amato A, Bianco V et al (2002) Complications after stapled hemorrhoidectomy: can they be prevented? Tech Coloproctol 6:83–88

    Article  PubMed  CAS  Google Scholar 

  9. Naldini G (2011) Serious unconventional complications of surgery with stapler for haemorrhoidal prolapse and obstructed defaecation because of rectocoele and rectal intussusception. Colorectal Dis 13:323–327

    Article  PubMed  CAS  Google Scholar 

  10. De Santis G, Gola P, Lancione L, Sista F, Pietroletti R, Leardi S (2011) Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy. Tech Coloproctol. doi:10.1007/510151.011.0696.2

  11. Nisar PJ, Acheson AG, Neal KR, Scholefield JH (2004) Stapled hemorrhoidopexy compared with conventional hemorrhoidectomy: systematic review of randomized, controlled trials. Dis Colon Rectum 47:1837–1845

    Article  PubMed  Google Scholar 

  12. Pavlidis T, Papaziogas B, Souparis A, Patsas A, Koutelidakis I, Papaziogas T (2002) Modern stapled Longo procedure vs. conventional Milligan-Morgan hemorrhoidectomy: a randomized controlled trial. Int J Colorectal Dis 17:50–53

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

None.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to J. Andreuccetti.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Andreuccetti, J., Gaj, F., Crispino, P. et al. Hemoperitoneum: a rare complication of hemorrhoid treatment. Tech Coloproctol 18, 399–401 (2014). https://doi.org/10.1007/s10151-012-0849-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10151-012-0849-y

Keywords

Navigation