Stapled hemorrhoidectomy (SH) is a modern approach for the management of hemorrhoids that can provoke life-threatening complications such as fulminant sepsis.
Methods:
Case report and review of the pertinent English-language literature.
Results:
A 23-year old man being treated with SH for third-degree hemorrhoids developed fulminant intra-abdominal sepsis as the result of a rectal injury during the operation. An exploratory laparotomy was performed. The rectal injury was sutured, and a temporary sigmoid loop colostomy was constructed.
Conclusions:
Anorectal injury during SH can provoke serious sepsis, which the surgeon must confront promptly and aggressively.
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