title: Persistent Bleeding Following a Stapled Hemorrhoidopexy.
abstract: A stapled hemorrhoidopexy (SH) is widely used for treatment of patients with grades III and IV hemorrhoids. The SH is easy to perform, is associated with less pain and allows early return to normal activities. However, complications, whether severe or not, have been reported. Here, we present the case of a female patient with persistent bleeding after a SH. The bleeding was caused by the formation of granulation tissue at the stapler line, diagnosed with sigmoidoscopy, and successfully treated via transanal excision (TAE) under spinal anesthesia. The biopsy showed inflammatory granulation tissue. After the TAE, her symptom was completely gone.
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Seong Dae
authors.initials: SD
authors.lastname: Lee
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Sung Taek
authors.initials: ST
authors.lastname: Jung
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Jae-Bum
authors.initials: JB
authors.lastname: Lee
authors.affiliation: Department of Pathology, Daehang Hospital, Seoul, Korea.
authors.forename: Mi Jung
authors.initials: MJ
authors.lastname: Kim
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Doo-Seok
authors.initials: DS
authors.lastname: Lee
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Eui-Gon
authors.initials: EG
authors.lastname: Youk
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Do-Sun
authors.initials: DS
authors.lastname: Kim
authors.affiliation: Department of Surgery, Daehang Hospital, Seoul, Korea.
authors.forename: Doo-Han
authors.initials: DH
authors.lastname: Lee
keywords: Hemorrhoidectomy; Inflammatory polyp; Rectal bleeding; Stapled hemorrhoidopexy