Related Experiment Video
Updated: Jun 24, 2025
03:42
Author Spotlight: Advancements in Retroperitoneal Approach for Necrotizing Pancreatitis
Published on: March 15, 2024
507
Pyogenic liver abscess after Milligan-Morgan hemorrhoidectomy
Jie Yang1, Liman Zhang1, Qiang Wang1
1Anorectal Department, Shijiazhuang Traditional Chinese Medical Hospital, Shijiazhuang 050001, China.
Journal of Surgical Case Reports
|June 4, 2024
Summary
A rare case of pyogenic liver abscesses following Milligan-Morgan (M-M) hemorrhoidectomy is presented. This unusual complication highlights the importance of vigilance even with infrequent severe outcomes after hemorrhoid surgery.
Area of Science:
- Surgical Complications
- Gastroenterology
- Infectious Disease
Background:
- Milligan-Morgan (M-M) hemorrhoidectomy is a standard procedure for advanced hemorrhoids (Grade III-IV).
- Severe complications are infrequent, necessitating reporting of unusual post-operative events.
Observation:
- A 50-year-old male developed pyogenic liver abscesses shortly after M-M hemorrhoidectomy.
- Symptoms appeared as early as the second post-operative day.
- The patient had no pre-existing diabetes or liver disease.
Findings:
- A literature review (1994-2024) identified only four prior cases of liver abscesses post-open hemorrhoidectomy.
- This case represents a rare and unusually early presentation of a pyogenic liver abscess post-M-M hemorrhoidectomy.
Implications:
- Highlights an uncommon but severe complication of a common surgical procedure.
- Suggests the need for heightened awareness and diagnostic consideration for liver abscesses in post-hemorrhoidectomy patients.
- Underscores the importance of reporting rare adverse events to improve understanding of surgical risks.
