Журнал клинических случаев

Angiographic Procedure Performed for Post-operative Retroperitoneal Haemorrhage after Longo Muco-hemorrhoidectomy

Abstract

Riva F, De Santis R, Danesini GM, Montano F, Damiani G and Cariati M

Among general population, prevalence of symptomatic haemorrhoids is estimated to be about 4.4% worldwide. Even though most cases resolve spontaneously, surgery plays an important role in reducing relapsing symptoms compared to medical therapy alone. Longo haemorrhoidectomy technique, which has led to fewer major complications over the years compared to Milligan-Morgan technique (complications of which include faecal incontinence, anal stenosis, prolonged postoperative pain), can also result in rare but serious haemorrhagic consequences. In this casereport, we present an unexpected haemorrhagic complication after Longo haemorrhoidectomy, and its subsequent embolization treatment with super selective catheterise of the affected vessels. In this case haemorrhage was prominent and retroperitoneal. Diagnostic and subsequent interments radiology techniques have revealed to be essential in diagnosis and treatment.