Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Case Report Volume 5 Issue 7

The Fate of Post-Hemorrhoidectomy Anal Stenosis Presenting as Acute Bowel Obstruction; A Case Report

Indah Jamtani, Adianto Nugroho*, Rofi Y Saunar, Aditomo Widarso and Taslim Poniman

Digestive Division, Department of Surgery, Fatmawati Central General Hospital, Indonesia

*Corresponding Author: Adianto Nugroho, Digestive Division, Department of Surgery, Fatmawati Central General Hospital, Indonesia.

Received: May 09, 2022; Published: June 15, 2022

Abstract

Anal stenosis occurs in 1.5-3.8% of post-hemorrhoidectomy cases. Post-hemorrhoidectomy anal stenosis accompanied by acute bowel obstruction is extremely rare. We present a 55-year-old lady with acute bowel obstruction after undergoing hemorrhoidectomy procedure. Examination under anesthesia revealed a macerated perianal area with no detectable anoderm layer, and the anal mucosa was adhered cranially, causing an apparent narrowing of the anal canal. We decided on a staged repair. Debridement of the perianal area was performed, and sutures from the overzealous hemorrhoidectomy were removed. We left the wound open for secondary healing with a diverting sigmoid colostomy. Anal stricture developed as the wound healed, and a rhomboid flap anoplasty was done six months after the first surgery. Routine anal dilatation and biofeedback were performed before closure of the ostomy three months after anal reconstruction. Although relatively a low-risk procedure, hemorrhoidectomy could cause debilitating complications. Anal stenosis is a devastating, life-altering complication of an overzealous hemorrhoidectomy.

Keywords: Post-Hemorrhoidectomy; Anal Stenosis; Acute Bowel Obstruction

References

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Citation

Citation: Adianto Nugroho., et al. “The Fate of Post-Hemorrhoidectomy Anal Stenosis Presenting as Acute Bowel Obstruction; A Case Report". Acta Scientific Gastrointestinal Disorders 5.7 (2022): 49-53.

Copyright

Copyright: © 2022 Adianto Nugroho., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.




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