Gangrene Research Today is a free monthly online journal that collates and summarizes the latest research about Gangrene, including details on smoking, treatment, causes, amputation, necrosis.

Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report.

McCloud JM, Doucas H, Scott AD, Jameson JS

Department of General Surgery, Leicester Royal Infirmary, Leicester, UK. joe@mccloud.com

Fournier's gangrene has been described after injection sclerotherapy and banding of haemorrhoids as well as after conventional haemorrhoidectomy. In addition, there have been several cases following stapled haemorrhoidopexy. A patient with this complication nearly always presents within the first week following surgery. We present an illustrative case of a patient who underwent stapled haemorrhoidopexy for prolapsed haemorrhoids and presented with fever, urinary retention and peri-anal pain 39 days later. At re-operation, there was extensive peri-anal necrosis. After wide excision and fashioning of a colostomy, the patient recovered. Our case shows that late presentation can occur.

Published 30 March 2007 in Ann R Coll Surg Engl, 89(3): 301-2.
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