The squelching hip: a sign of life-threatening sepsis following haemorrhoidectomy |
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Authors: | James Robert Berstock John Bunni Alexander Peter Torrie |
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Institution: | Department of Orthopaedics, Royal United Hospital, Bath, UK |
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Abstract: | We report a case of fulminating infection tracking from the left ischiorectal fossa to the popliteal fossa as a consequence of rectal perforation 11 days following traditional Milligan–Morgan haemorrhoidectomy. The case presented as a loud squelching noise coming from the hip on walking. Extensive cellulitis was evident over the posterior aspect of the thigh, with a deep fluctuant collection in the left buttock that communicated with the posterior compartment of the thigh. Per rectal examination revealed a defect in the rectal wall, with a foul-smelling discharge. Extensive thigh incision and drainage, defunctioning colostomy, multiple washouts, and split skin grafting procedures were performed. The patient has now recovered. |
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Keywords: | Haemorrhoids Hip joint Infection |
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