A combined method for the treatment of grade IV internal haemorrhoidal disease
A 48-year-old patient presented acutely in our emergency department, reporting a fainting episode that took place several minutes prior, as well as continuous rectal blood loss. The patient’s prior medical history included known grade IV haemorrhoidal disease for the past 33 years, as well as one mo...
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| Format: | Article |
| Language: | English |
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Termedia Publishing House
2022-01-01
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| Series: | Gastroenterology Review |
| Online Access: | https://www.termedia.pl/A-combined-method-for-the-treatment-of-grade-IV-internal-haemorrhoidal-disease,41,46210,1,1.html |
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| _version_ | 1841548323942563840 |
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| author | Georgios-Ioannis Verras Francesk Mulita George Theofanis Levan Tchabashvili Ioannis Perdikaris Theano Perri Charalampos Kaplanis Dimitrios Filis |
| author_facet | Georgios-Ioannis Verras Francesk Mulita George Theofanis Levan Tchabashvili Ioannis Perdikaris Theano Perri Charalampos Kaplanis Dimitrios Filis |
| author_sort | Georgios-Ioannis Verras |
| collection | DOAJ |
| description | A 48-year-old patient presented acutely in our emergency department, reporting a fainting episode that took place several minutes prior, as well as continuous rectal blood loss. The patient’s prior medical history included known grade IV haemorrhoidal disease for the past 33 years, as well as one more instance of hospitalization for haemorrhoid-associated blood loss. Examination of the patient’s vital signs revealed a blood pressure of 98/67 mm Hg and a pulse rate of 68 bpm, while the respiratory rate and temperature were within the normal limits. Anorectal inspection revealed massive, grade IV internal haemorrhoidal disease, with numerous prolapsed and ulcerated haemorrhoids as well as active bleeding sites. Digital palpation of the rectum returned stool of normal consistency, as well as ample fresh blood. Complete blood count report returned hemoglobin (Hb) values of 7.0 g/dl and hematocrit (Hct) of 24.3% in addition to marked neutrophilia (73.9%), indicating severe acute blood loss. |
| format | Article |
| id | doaj-art-91246303f1f34881b7ec96ddfc2ea808 |
| institution | Kabale University |
| issn | 1895-5770 1897-4317 |
| language | English |
| publishDate | 2022-01-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Gastroenterology Review |
| spelling | doaj-art-91246303f1f34881b7ec96ddfc2ea8082025-01-10T14:06:16ZengTermedia Publishing HouseGastroenterology Review1895-57701897-43172022-01-0118112312410.5114/pg.2022.11277646210A combined method for the treatment of grade IV internal haemorrhoidal diseaseGeorgios-Ioannis VerrasFrancesk MulitaGeorge TheofanisLevan TchabashviliIoannis PerdikarisTheano PerriCharalampos KaplanisDimitrios FilisA 48-year-old patient presented acutely in our emergency department, reporting a fainting episode that took place several minutes prior, as well as continuous rectal blood loss. The patient’s prior medical history included known grade IV haemorrhoidal disease for the past 33 years, as well as one more instance of hospitalization for haemorrhoid-associated blood loss. Examination of the patient’s vital signs revealed a blood pressure of 98/67 mm Hg and a pulse rate of 68 bpm, while the respiratory rate and temperature were within the normal limits. Anorectal inspection revealed massive, grade IV internal haemorrhoidal disease, with numerous prolapsed and ulcerated haemorrhoids as well as active bleeding sites. Digital palpation of the rectum returned stool of normal consistency, as well as ample fresh blood. Complete blood count report returned hemoglobin (Hb) values of 7.0 g/dl and hematocrit (Hct) of 24.3% in addition to marked neutrophilia (73.9%), indicating severe acute blood loss.https://www.termedia.pl/A-combined-method-for-the-treatment-of-grade-IV-internal-haemorrhoidal-disease,41,46210,1,1.html |
| spellingShingle | Georgios-Ioannis Verras Francesk Mulita George Theofanis Levan Tchabashvili Ioannis Perdikaris Theano Perri Charalampos Kaplanis Dimitrios Filis A combined method for the treatment of grade IV internal haemorrhoidal disease Gastroenterology Review |
| title | A combined method for the treatment of grade IV internal haemorrhoidal disease |
| title_full | A combined method for the treatment of grade IV internal haemorrhoidal disease |
| title_fullStr | A combined method for the treatment of grade IV internal haemorrhoidal disease |
| title_full_unstemmed | A combined method for the treatment of grade IV internal haemorrhoidal disease |
| title_short | A combined method for the treatment of grade IV internal haemorrhoidal disease |
| title_sort | combined method for the treatment of grade iv internal haemorrhoidal disease |
| url | https://www.termedia.pl/A-combined-method-for-the-treatment-of-grade-IV-internal-haemorrhoidal-disease,41,46210,1,1.html |
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