Abstract
We report a patient with haemorrhoids treated with rubber band ligation who developed a huge supralevator abscess. A diverting sigmoidostomy had to be established as surgical drainage via the rectum was not adequate. Eventually the patient accepted the HIV-testing which proved positive. Six months later the sigmoidostomy was still needed as the abscess cavity remained large. We conclude that rubber band ligation in HIV-positive patients should be abandoned.
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References
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Buchmann, P., Seefeld, U. Rubber band ligation for piles can be disastrous in HIV-positive patients. Int J Colorect Dis 4, 57–58 (1989). https://doi.org/10.1007/BF01648552
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DOI: https://doi.org/10.1007/BF01648552