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Post hemorrhoidectomy complications: CT imaging findings.
Eyal Klang1, Tamer Sobeh1, Marianne Michal Amitai1
1Department of Diagnostic Imaging, Chaim Sheba Medical Center, Ramat Gan, Israel; Sackler School of Medicine, Tel-Aviv University, Israel.
Clinical Imaging
|January 14, 2020
Summary
Computed tomography (CT) can identify severe early complications after hemorrhoidectomy, such as rectal perforation and abscesses. Emergency department (ED) radiologists must recognize these findings to prevent serious patient outcomes.
Area of Science:
- Radiology
- Gastroenterology
- Emergency Medicine
Background:
- Hemorrhoidectomy is a common procedure.
- Early complications can arise post-procedure.
- Computed tomography (CT) is utilized in emergency departments (EDs).
Purpose of the Study:
- To describe CT findings of early complications after interventional hemorrhoid treatments.
- To highlight potential severe outcomes in ED patients.
Main Methods:
- Retrospective review of abdominal/pelvic CT scans from February 2012 to February 2019.
- Inclusion criteria: ED patients with suspected early (≤30 days) post-hemorrhoidectomy complications.
- Data collected: presenting symptoms, CT findings, clinical outcomes.
Main Results:
- 12 patients underwent CT for post-hemorrhoidectomy complications.
- Common symptoms: peri-anal/abdominal pain; one patient had hemodynamic instability.
- CT findings included proctitis (4/12), rectal perforation (2/12), peri-anal abscess (1/12), and fistula (1/12).
- Three patients required intensive care; two underwent emergent laparotomy; one patient died from secondary infection.
Conclusions:
- Hemorrhoidectomy can lead to severe, recognizable complications.
- These complications pose a significant clinical risk.
- ED clinicians and radiologists need awareness of these potential post-procedural issues.
