کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
2678733 1564456 2013 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Surgical treatment of thrombosed external hemorrhoids – Case report and review of literature
ترجمه فارسی عنوان
درمان جراحی هموروئید خارجی ترومبوز؛ گزارش موردی و بررسی ادبیات
کلمات کلیدی
هموروئیدهای خارجی؛ ترومبوز رفتار؛ عمل جراحي؛ اپیدمیولوژی
موضوعات مرتبط
علوم زیستی و بیوفناوری علم عصب شناسی عصب شناسی
چکیده انگلیسی

IntroductionAlthough anorectal diseases in clinical practice are relatively common, thrombosed external hemorrhoids (TEH) are still a major therapeutic problem. TEH most frequently occurs in subjects with diagnosed hemorrhoidal disease.AimThe aim of this work was to report and analyze a case of TEH.Case studyThe patient, a 22-year-old male, attended Proctology Clinic with a severe anal pain. He had a history of pain which occurred the day before for the first time in his life. Physical examination showed no abnormalities. Digital rectal examination revealed TEH. Patient consented for incision of TEH under local anesthesia. Following the administration of anesthesia around TEH, incision was made and blood clot was evacuated. After 2 days the patient attended a follow-up appointment in the Proctology Clinic. After the incision was made the pain has resolved. From the time of TEH incision the patient did not receive any pain medication. After 5 months there was no recurrence of the disease.Results and discussionTEH is the cause of severe pain and itching. Major cause of the pain is the increased tension of external anal sphincter muscle. Diagnosis of TEH is made based on anamnesis, physical examination and additional tests. The most important part of a physical examination is digital rectal examination. Early diagnosis of thrombus and initiation of proper, most frequently surgical, treatment is an effective treatment method of this condition.ConclusionsTreatment of TEH should be adjusted for each patient individually. The main factor determining the choice of treatment method is patient consent for a surgical intervention under local anesthesia. Excision or incision of the thrombosed hemorrhoid under local anesthesia in patients with TEH is a completely secure method, at the same time with a low number of complications.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Polish Annals of Medicine - Volume 20, Issue 1, September 2013, Pages 35–38
نویسندگان
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