Rectal Gangrene. A Rare Complication of Infected Hemorrhoid

Autor: Munehumi Kayo, Eijiro Dakeshita, Yasunori Sashida, Kenji Matsuura, Hironori Samura, Kazuaki Kuwabara
Rok vydání: 2000
Předmět:
Zdroj: Nihon Kyukyu Igakukai Zasshi. 11:285-288
ISSN: 1883-3772
0915-924X
DOI: 10.3893/jjaam.11.285
Popis: A 27-year-old male with rectal gangrene as a result of a hemorrhoid infection complicated by pelvic cellulitis is described. Management initially included an exploratory laparotomy and perirectal space drainage. The patient deteriorated acutely on the 2nd postoperative day and required emergency abdomino-perineal resection. Reviewing the medical literatures, rectal gangrene can occur as a result of variety of etiologies such as occlusion of small arteries, toxication, infection, or trauma, although most of them occur after the abdominal aortic operations. Because clinical deterioration occurs in a matter of hours, a high index of suspicion should be maintained and the emergency operation is always required to save patient's life.
Databáze: OpenAIRE