Rectal Perforation Caused by Anal Stricture After Hemorrhoid Treatment
서용준, 하헌균, 오흥권, 신루미, 정승용, 박규주,
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서용준 ( Suh Yong-Joon )
Seoul National University College of Medicine Department of Surgery
하헌균 ( Ha Heon-Kyun )
Seoul National University College of Medicine Department of Surgery
오흥권 ( Oh Heung-Kwon )
Seoul National University College of Medicine Department of Surgery
신루미 ( Shin Ru-Mi )
Seoul National University College of Medicine Department of Surgery
정승용 ( Jeong Seung-Yong )
Seoul National University College of Medicine Department of Surgery
박규주 ( Park Kyu-Joo )
Seoul National University College of Medicine Department of Surgery
KMID : 0356720130290010028
Abstract
Inappropriate therapies for hemorrhoids can lead to various complications including anorectal stricture. We report a patient presenting with catastrophic rectal perforation due to severe anal stricture after inappropriate hemorrhoid treatment. A 67-years old man with perianal pain visited the emergency room. The hemorrhoids accompanied by constipation, had tortured him since his youth. Thus he had undergone injection sclerotherapy several times by an unlicensed therapist and hemorrhoidectomy twice at the clinics of private practitioners. His body temperature was as high as 38.5℃. The computed tomographic scan showed a focal perforation of posterior rectal wall. The emergency operation was performed. The fibrotic tissues of the anal canal were excised. And then a sigmoid loop colostomy was constructed. The patient was discharged four days following the operation. This report calls attention to the enormous risk of unlicensed injection sclerotherapy and overzealous hemorrhoidectomy resulting in scarring, progressive stricture, and eventual rectal perforation.
키워드
Hemorrhoids;Stricture;Intestinal perforation
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