Pyogenic Liver Abscess as a Complication of Internal Hemorrhoid Banding

Xu, Min; Russell, Marcia M.; Lin, Anne; Yoo, James J.

doi:10.1177/000313481408000201

Cited by 6 publications

(2 citation statements)

References 4 publications

(7 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Liver abscesses associated with the treatment of hemorrhoids were first described related to hemorrhoidectomy[ 43 , 44 ] and sclerotherapy[ 45 ]. To our knowledge, there are six case reports of liver abscesses due to RBL of hemorrhoids[ 20 , 46 - 50 ]. Most cases were male (5/6 patients), more frequently due to Klebsiella (4/6 patients) and multiple abscesses (5/6 patients) were normally present.…”

Section: Complications Of Rblmentioning

confidence: 99%

Rubber band ligation of hemorrhoids: A guide for complications

Albuquerque

2016

WJGS

View full text Add to dashboard Cite

Rubber band ligation is one of the most important, cost-effective and commonly used treatments for internal hemorrhoids. Different technical approaches were developed mainly to improve efficacy and safety. The technique can be employed using an endoscope with forward-view or retroflexion or without an endoscope, using a suction elastic band ligator or a forceps ligator. Single or multiple ligations can be performed in a single session. Local anaesthetic after ligation can also be used to reduce the post-procedure pain. Mild bleeding, pain, vaso-vagal symptoms, slippage of bands, priapism, difficulty in urination, anal fissure, and chronic longitudinal ulcers are normally considered minor complications, more frequently encountered. Massive bleeding, thrombosed hemorrhoids, severe pain, urinary retention needing catheterization, pelvic sepsis and death are uncommon major complications. Mild pain after rubber band ligation is the most common complication with a high frequency in some studies. Secondary bleeding normally occurs 10 to 14 d after banding and patients taking anti-platelet and/or anti-coagulant medication have a higher risk, with some reports of massive life-threatening haemorrhage. Several infectious complications have also been reported including pelvic sepsis, Fournier’s gangrene, liver abscesses, tetanus and bacterial endocarditis. To date, seven deaths due to these infectious complications were described. Early recognition and immediate treatment of complications are fundamental for a favourable prognosis.

show abstract

Section: Complications Of Rblmentioning

confidence: 99%

Rubber band ligation of hemorrhoids: A guide for complications

Albuquerque

2016

WJGS

View full text Add to dashboard Cite

show abstract

“…The current clinical literature on PLA post-hemorrhoidal surgery is limited [ 5 ], with some experts proposing a potential association with the migration of intestinal flora following necrosis and detachment of internal hemorrhoidal ligation tissue [ 6 ]. Furthermore, some scholars have linked PLA after hemorrhoidal ligation to factors such as dyslipidemia, digestive ulcers, and diabetes, hypothesizing transmural necrosis of the rectal mucosa and subsequent infection spread [ 7 ]. The timely diagnosis of PLA through abdominal color ultrasound follows the onset of epigastric pain and nausea, providing crucial guidance for clinical intervention [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

Pyogenic liver abscess after Milligan–Morgan hemorrhoidectomy

Yang,

Zhang,

Wang

2024

Journal of Surgical Case Reports

View full text Add to dashboard Cite

Milligan–Morgan(M-M) hemorrhoidectomy is regarded as the primary treatment option for patients diagnosed with grade III or IV hemorrhoids. Here, we present the case of a 50-year-old male who developed pyogenic liver abscesses as an unusual complication following M-M hemorrhoidectomy. Severe complications subsequent to hemorrhoid surgery are infrequent. A review of the PubMed database spanning the 30-year period between 1994 and 2024 yielded only four publications documenting patients who experienced liver abscesses following open hemorrhoidectomy. Furthermore, the patient exhibited symptoms of a liver abscess as early as the second day post-surgery, despite having no history of diabetes or liver disease, making this occurrence truly uncommon.

show abstract

S3-Leitlinie Hämorrhoidalleiden

Joós

Jongen²

2021

coloproctology

View full text Add to dashboard Cite

Pyogenic Liver Abscess as a Complication of Internal Hemorrhoid Banding

Cited by 6 publications

References 4 publications

Rubber band ligation of hemorrhoids: A guide for complications

Rubber band ligation of hemorrhoids: A guide for complications

Pyogenic liver abscess after Milligan–Morgan hemorrhoidectomy

S3-Leitlinie Hämorrhoidalleiden

Contact Info

Product

Resources

About