Perianal Abscess Following Excisional Hemorrhoidectomy in an Immunocompetent Patient.
colon & rectal surgery
immuno-competent
perianal disease
perirectal abscess
rectal discharge
Journal
Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737
Informations de publication
Date de publication:
Nov 2022
Nov 2022
Historique:
accepted:
08
11
2022
entrez:
14
12
2022
pubmed:
15
12
2022
medline:
15
12
2022
Statut:
epublish
Résumé
Hemorrhoidal disease is the third most common outpatient gastrointestinal diagnosis affecting more than four million patients annually. The management depends on the disease severity, and the treatment options range from lifestyle modification to excisional hemorrhoidectomy. Perianal abscess is an exceedingly rare complication following hemorrhoidectomy, with immunocompromised patients the most commonly affected. The rarity of this complication may be attributed to the natural immunologic process within the reticuloendothelial apparatus of the liver. The disease presentation of perianal abscess after hemorrhoidectomy and its management is unclear in the literature. We present the case of a 44-year-old immunocompetent male with grade II and III hemorrhoidal disease who underwent excisional hemorrhoidectomy that was complicated with perianal abscesses. The patient was successfully managed with incision and drainage with antibiotics. Surgeons should maintain a high index of suspicion for any sign of pelvic sepsis or a developing perianal abscess, particularly in immunocompromised patients.
Identifiants
pubmed: 36514644
doi: 10.7759/cureus.31292
pmc: PMC9733662
doi:
Types de publication
Case Reports
Langues
eng
Pagination
e31292Informations de copyright
Copyright © 2022, Orellana Olmedo et al.
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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