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KMID : 0356720160320030120
Journal of the Korean Society of Coloproctology
2016 Volume.32 No. 3 p.120 ~ p.122
Persistent Bleeding Following a Stapled Hemorrhoidopexy
Lee Seong-Dae

Jung Sung-Taek
Lee Jae-Bum
Kim Mi-Jung
Lee Doo-Seok
Youk Eui-Gon
Kim Do-Sun
Lee Doo-Han
Abstract
A stapled hemorrhoidopexy (SH) is widely used for treatment of patients with grades III and IV hemorrhoids. The SH is easy to perform, is associated with less pain and allows early return to normal activities. However, complications, whether severe or not, have been reported. Here, we present the case of a female patient with persistent bleeding after a SH. The bleeding was caused by the formation of granulation tissue at the stapler line, diagnosed with sigmoidoscopy, and successfully treated via transanal excision (TAE) under spinal anesthesia. The biopsy showed inflammatory granulation tissue. After the TAE, her symptom was completely gone.
KEYWORD
Hemorrhoidectomy, Stapled hemorrhoidopexy, Rectal bleeding, Inflammatory polyp
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