A Rare Complication of Stapled Hemorrhoidopexy: Giant Pelvic Hematoma Treated with Super-Selective Percutaneous Angioembolization

A Rare Complication of Stapled Hemorrhoidopexy: Giant Pelvic Hematoma Treated with Super-Selective Percutaneous Angioembolization

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Introduction: Procedure for prolapsed hemorrhoids (PPH) or hemorrhoidopexy is not free from complications, some of whichhave been described as serious, such as bleeding.This study describes a case of a female patient 3 Pack Classic Tee with post-operative huge pelvichematoma, successfully treated with percutaneous angioembolization.Case Presentation: A 76-year-old female underwent PPH, with no intraoperative complications.Few hours later, the patient showedsigns of acute abdomen.

No external rectal bleeding was identified and vital signs were normal.A computerized tomography (CT)-scan showed a giant peri-rectal and retroperitoneal pelvic hematoma, with signs of active bleeding.A subsequent selective arteriographyshowed huge bleeding from superior hemorrhoidal artery, treated with super-selective embolization.The procedure wassuccessful and the patient showed a symptomatic improvement.

The subsequent hospital stay was uneventful and she was dischargedon the ninth post-operative day, with no complications.At the 30-day post-discharge follow-up, the patient was completelypain free with no signs of pelvic discomfort.Control CT scan revealed regression of the pelvic hematoma.Conclusions: Severe complications may occur NUTRI SEA OMEGA 3 after PPH and one of the most important is local bleeding.

In the current case, nosigns of external active bleeding were noted.Prompt diagnosis with CT scan allowed efficacious non-operative treatment with angioembolization,avoiding the need of reoperation for a potential serious complication.