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CASE REPORT   

Il Giornale Italiano di Radiologia Medica 2018 Novembre-Dicembre;5(6):768-72

DOI: 10.23736/S2283-8376.18.00144-4

Copyright © 2018 EDIZIONI MINERVA MEDICA

language: Italian

Angiographic procedure performed for postoperative retroperitoneal hemorrhage after Longo mucoemorroidectomy

Federica RIVA 1 , Rossella DE SANTIS 1, Giulia M. DANESINI 1, Florian MONTANO 1, Giovanni DAMIANI 2, Maurizio CARIATI 2

1 Università degli studi di Milano, Milano, Italia; 2 ASST Ospedali Santi Paolo e Carlo, Presidio San Carlo Borromeo, Milano, Italia


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Among general population, prevalence of symptomatic hemorrhoids is estimated to be about 4.4% worldwide. Even though most cases resolve spontaneously, surgery plays an important role in reducing relapsing symptoms compared to medical therapy alone. Longo hemorrhoidectomy technique, which has led to greater less complications over the years compared to Milligan-Morgan technique (fecal incontinence, anal stenosis, prolonged postoperative pain), can have rare but serious hemorrhagic consequences. In this case-report, we present an unexpected hemorrhagic complication after Longo hemorrhoidectomy technique surgery, and its subsequent embolization treatment with superselective catheterism of the affected vessels. In this case hemorrhage was prominent and retroperitoneal, as well. Diagnostic and subsequent interventistic radiology technique have revealed to be essential in diagnosis and treatment.


KEY WORDS: Embolization, therapeutic - Hemorrhoids - Mesenteric artery, inferior

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