title: Sigmoid intramural hematoma and hemoperitoneum: an early severe complication after stapled hemorrhoidopexy.
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.
authors.affiliation: General Surgery Unit, Department of Surgical Sciences, L'Aquila University, Piazza. S.Tommasi, 1, 00167, L'Aquila, Italy.
authors.forename: G
authors.initials: G
authors.lastname: De Santis
authors.forename: P
authors.initials: P
authors.lastname: Gola
authors.forename: L
authors.initials: L
authors.lastname: Lancione
authors.forename: F
authors.initials: F
authors.lastname: Sista
authors.forename: R
authors.initials: R
authors.lastname: Pietroletti
authors.forename: S
authors.initials: S
authors.lastname: Leardi
mesh_terms: D006406:Hematoma / Q000209:etiology*; D006465:Hemoperitoneum / Q000209:etiology*; D061865:Hemorrhoidectomy / Q000379:methods*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D012810:Sigmoid Diseases / Q000209:etiology*; D017792:Surgical Stapling; D014057:Tomography, X-Ray Computed