A Case of Rectal Perforation After Internal Hemorrhoidectomy Using The Procedure For Prolapse and Hemorrhoids

Abstract

We report a case of rectal perforation after internal hemorrhoidectomy. A 58-year-old man diagnosed with fourth degree hemorrhoids, based on Goligher“s classification, underwent surgery using the procedure for prolapse and hemorrhoids (PPH). On postoperative day 2, he complained of abdominal pain and a fever. We diagnosed rectal perforation because gastrographin enema showed leakage from the lower rectum to the abdominal cavity, and we performed emergency colostomy. PPH is used extensively as a surgical approach for the treatment of internal hemorrhoids. However, we must recognize that severe and critical complications are rarely caused by not skilled technique.