Death Resulting from Fournier Gangrene Secondary to Thrombosis of Very Large Hemorrhoids: Report of a Case |
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Authors: | Heveline Becker de Moura Alfredo Ribeiro-Silva |
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Institution: | 1.Department of Pathology, Faculty of Medicine of Ribeir?o Preto,University of S?o Paulo, Campus Universitário Monte Alegre,Ribeir?o Preto,Brazil |
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Abstract: | A 53-year-old male was admitted with a two-day history of abdominal pain, anal bleeding, fever, diarrhea, vomiting, and mental
confusion. A diagnosis of thrombosis of very large hemorrhoids (Grade 4) was made. On the day of admission, he underwent an
exploring laparotomy followed by abdominoperineal resection. The peritoneal cavity was filled with pus and blood clots. Because
rectal necrosis was involved, sigmoid colostomy was imperative. Twenty-eight hours after surgery, the patient demonstrated
signs of soft-tissue perineal necrosis associated with progressive pain and fever. He developed a rapidly progressive gangrene
of the lower limbs and scrotum followed by acute renal and respiratory failure, and he died of sepsis. At autopsy, the cadaver
showed jaundice and a large gangrene of the perineum and lower limbs. The internal organs showed features secondary to sepsis
complications. To the best of our knowledge, this is the first autopsy study of a patient who died because of complications
of hemorrhoids. |
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Keywords: | Autopsy Fournier gangrene Thrombosis Hemorrhoids |
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