Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report.
Fournier's gangrene has been described after injection sclerotherapy and banding of haemorrhoids as well as after conventional haemorrhoidectomy. In addition, there have been several cases following stapled haemorrhoidopexy. A patient with this complication nearly always presents within the first week following surgery. We present an illustrative case of a patient who underwent stapled haemorrhoidopexy for prolapsed haemorrhoids and presented with fever, urinary retention and peri-anal pain 39 days later. At re-operation, there was extensive peri-anal necrosis. After wide excision and fashioning of a colostomy, the patient recovered. Our case shows that late presentation can occur.
McCloud
J M
JM
Department of General Surgery, Leicester Royal Infirmary, Leicester, UK. joe@mccloud.com
Doucas
H
H
Scott
A D N
AD
Jameson
J S
JS
D001004:Anus Diseases / Q000382:microbiology*; D016638:Critical Illness; D005260:Female; D005734:Gangrene / Q000382:microbiology*; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D010502:Perineum; D011183:Postoperative Complications / Q000382:microbiology*; D018805:Sepsis / Q000209:etiology*; D017792:Surgical Stapling