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Fournier’s Gangrene after Milligan-Morgan Hemorrhoidectomy Requiring Subsequent Abdominoperineal Resection of the Rectum: Report of a Case

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Diseases of the Colon & Rectum

The development of Fournier’s gangrene after Milligan-Morgan hemorrhoidectomy of a previously healthy 76-year-old female patient is described. After such a common surgical procedure, the patient developed full-thickness skin necrosis of the perianal region including the rectum. Immediate radical debridement was mandatory. Because of rectal involvement, a diverting sigmoid colostomy was required. The rectum had to be removed by abdominoperineal resection. This disastrous complication was completely unexpected and unpredictable after Milligan-Morgan hemorrhoidectomy because of the lack of predisposing factors.

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Authors and Affiliations

  1. Department of Plastic Surgery, Burn Center, Handsurgery, Sarcoma Reference Center, BG University Hospital Bergmannsheil, Ruhr University Bochum, Bochum, Germany

    Marcus Lehnhardt M.D., Lars Steinstraesser M.D., Daniel Druecke M.D., Hans U. Steinau M.D., Ph.D. & Heinz H. Homann M.D.

  2. Department of Plastic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany

    Thomas Muehlberger M.D., Ph.D.

Authors
  1. Marcus Lehnhardt M.D.
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  2. Lars Steinstraesser M.D.
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  3. Daniel Druecke M.D.
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  4. Thomas Muehlberger M.D., Ph.D.
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  5. Hans U. Steinau M.D., Ph.D.
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  6. Heinz H. Homann M.D.
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Correspondence to Marcus Lehnhardt M.D..

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Lehnhardt, M., Steinstraesser, L., Druecke, D. et al. Fournier’s Gangrene after Milligan-Morgan Hemorrhoidectomy Requiring Subsequent Abdominoperineal Resection of the Rectum: Report of a Case. Dis Colon Rectum 47, 1729–1733 (2004). https://doi.org/10.1007/s10350-004-0616-x

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  • DOI: https://doi.org/10.1007/s10350-004-0616-x

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