Perianal abscess following doppler-guided transanal hemorrhoidal dearterialization
Ahmed Bensaad, Christophe Fircket
The Pan African Medical Journal. 2017;28:175. doi:10.11604/pamj.2017.28.175.13756

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Perianal abscess following doppler-guided transanal hemorrhoidal dearterialization

Cite this: The Pan African Medical Journal. 2017;28:175. doi:10.11604/pamj.2017.28.175.13756

Received: 31/08/2017 - Accepted: 06/10/2017 - Published: 25/10/2017

Key words: Doppler-guided, transanal, hemorrhoidal dearterialization, hemorrhoids, perianal abscess

© Ahmed Bensaad et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/28/175/full

Corresponding author: Ahmed Bensaad, CHU Ibn Rochd, Casablanca, Morocco (bensaad12@hotmail.com)


Perianal abscess following doppler-guided transanal hemorrhoidal dearterialization

Ahmed Bensaad1,&, Christophe Fircket2

 

1CHU Ibn Rochd, Casablanca, Morocco, 2Hôpitaux Iris Sud Joseph Bracops, Bruxelles, Belgique

 

 

&Corresponding author
Ahmed Bensaad, CHU Ibn Rochd, Casablanca, Morocco

 

 

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The doppler-guided transanal hemorrhoidal dearterialization (DG-THD) is a well-established and validated minimally invasive procedure for the treatment of symptomatic hemorrhoids. As compared to the excisional technique, DG-THD has the advantage of being associated with less post-operative pain and do not compromise the anatomy or the physiology of the anal canal. Our objectif is to describe the first case of perianal abscess following DG-THD. We report perianal abscess in a previously healthy 32-year-old male patient, who underwent DG-THD for grade II hemorrhoids, as an outpatient procedure. One week later, the patient complained of persistent pain in the right iliac fossa and hypogastrium. CT-scan showed a peri-rectal fluid collection with gas bubbles and peripheral enhancement. MRI was obtained after first attempt of elective drainage, showing increase of the collection diameter without any fistula, which prompted a surgical exploration and drainage. Multi sensitive E. coli was found on culture. Post-operative recovery was slow but favourable. To the best of our knowledge, no previous report of perianal abscess following DG-THD has been described in the literature, which we believe in our case to be of haematogenous origin.

 

 

Figure 1: sagittal T2-weighted pelvic magnetic resonance imaging shows perianal abscess

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Doppler-guided
Transanal
Hemorrhoidal dearterialization
Hemorrhoids
Perianal abscess

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