title: Fulminant intra-abdominal sepsis after stapled hemorrhoidectomy.
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.
authors.affiliation: Department of Surgery C, Tzanio General Teaching Hospital, Piraeus, Greece. szkornar@otenet.gr
authors.forename: Stylianos
authors.initials: S
authors.lastname: Kornaros
authors.forename: Kostas
authors.initials: K
authors.lastname: Dalamangas
authors.forename: Adamantia
authors.initials: A
authors.lastname: Zisi-Sermpetzoglou
mesh_terms: D000328:Adult; D006484:Hemorrhoids / Q000601:surgery*; D006801:Humans; D008297:Male; D010538:Peritonitis / Q000175:diagnosis* / Q000473:pathology; D012007:Rectum / Q000293:injuries*; D018805:Sepsis / Q000175:diagnosis* / Q000473:pathology; D017792:Surgical Stapling / Q000009:adverse effects*; D013530:Surgical Wound Infection / Q000150:complications*