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Fulminant Intra-Abdominal Sepsis after Stapled Hemorrhoidectomy

To cite this article:
Stylianos Kornaros, Kostas Dalamangas, and Adamantia Zisi-Sermpetzoglou. Surgical Infections. April 2011, 12(2): 145-148. doi:10.1089/sur.2009.056.

Published in Volume: 12 Issue 2: May 5, 2011
Online Ahead of Print: February 24, 2011

Author information

Stylianos Kornaros,1 Kostas Dalamangas,1 and Adamantia Zisi-Sermpetzoglou2
1Department of Surgery C, Tzanio General Teaching Hospital, Piraeus, Greece.
2Department of Pathology, Tzanio General Teaching Hospital, Piraeus, Greece.
Address correspondence to:
Dr. Stylianos Kornaros
Department of Surgery C
Tzanio General Teaching Hospital
Tertseti 4
Athens,
Greece 11141
E-mail:

ABSTRACT

Abstract

Background: Stapled hemorrhoidectomy (SH) is a modern approach for the management of hemorrhoids that can provoke life-threatening complications such as fulminant sepsis.

Methods: Case report and review of the pertinent English-language literature.

Results: A 23-year old man being treated with SH for third-degree hemorrhoids developed fulminant intra-abdominal sepsis as the result of a rectal injury during the operation. An exploratory laparotomy was performed. The rectal injury was sutured, and a temporary sigmoid loop colostomy was constructed.

Conclusions: Anorectal injury during SH can provoke serious sepsis, which the surgeon must confront promptly and aggressively.

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