Abstract
Stapled hemorrhoidopexy is a widely used surgical technique for treating hemorrhoids, although severe complications have been reported. The authors report a rare case of extensive ascending intramural hematoma of the sigmoid colon complicating stapled hemorrhoidopexy, with perforation and hemoperitoneum. Diagnosis was established at CT scan and treatment consisted of drainage, suturing, and diverting colostomy. This reported case is the ninth described in the literature, but, so far, it is not known what preventive measures to use in order to avoid such a rare complication. Adoption of a correct surgical technique remains the step of utmost importance in order to prevent such a severe postoperative complication.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Giordano P, Gravante G, Sorge R, Ovens L, Nastro P (2009) Long-term outcomes of stapled hemorrhoidopexy vs conventional hemorrhoidectomy: a meta-analysis of randomized controlled trials. Arch Surg 144:266–272
Mehigan BJ, Monson JR, Hartley JE (2000) Stapling procedure for haemorrhoids versus Milligan-Morgan haemorrhoidectomy: randomised controlled trial. Lancet 355:782–785
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
Cirocco WC (2008) Life threatening sepsis and mortality following stapled henorrhoidopexy. Surgery 143:824–829
Kornaros S, Dalamangas K, Zisi-Sermpetzoglou A (2011) Fulminant Intra-Abdominal Sepsis after Stapled Hemorrhoidectomy. Surg Infect 12:145–148
Pescatori M, Gagliardi G (2008) Postoperative complications after procedure for prolapsed hemorrhoids (PPH) and stapled transanal rectal resection (STARR) procedures. Tech Coloproctol 12:7–19
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
Augustin G, Smud D, Kinda E et al (2009) Intra-abdominal bleeding from a seromuscolar tear of an ascending rectosigmoid intramural hematoma after stapled hemorrhoidopexy. Can J Surg 52:E14–E15
Aumann G, Petersen S, Pollack T, Hellmich G, Ludwig K (2004) Severe intra-abdominal bleeding following stapled mucosectomy due to enterocele: report of a case. Tech Coloproctol 8:41–43
Vasudevan SP, Mustafa el A, Gadhvi VM, Jhaldiyal P, Saharay M (2007) Acute intestinal obstruction following stapled haemorrhoidopexy. Colorectal Dis 9:668–669
Büyükaşik O, Hasdemir OA, Cöl C (2009) Rectal lumen obliteration from stapled hemorrhoidopexy: can it be prevented? Tech Coloproctol 13:333–335
Serventi A, Rassu PC, Giaminardi E, Vitali GC, Brigli G (2010) Fecaloma in an iatrogenic diverticulum: an unusual complication of the procedure for prolapsed hemorrhoids (PPH). Tech Coloproctol 14:371–372
Khubchandani I, Fealk MH, Reed JF 3rd (2009) Is there a post-PPH syndrome? Tech Coloproctol 13:141–144
Jayaraman S, Colquhoun PH, Malthaner RA (2006) Stapled versus conventional surgery for hemorrhoids. Cochrane Database Syst Rev CD005393
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
De Santis, G., Gola, P., Lancione, L. et al. Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy. Tech Coloproctol 16, 315–317 (2012). https://doi.org/10.1007/s10151-011-0696-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10151-011-0696-2