A combined method for the treatment of grade IV internal haemorrhoidal disease.

IF 1.7 Q3 GASTROENTEROLOGY & HEPATOLOGY

Przegla̜d Gastroenterologiczny Pub Date : 2023-01-01 DOI:10.5114/pg.2022.112776

Georgios-Ioannis Verras, Francesk Mulita, George Theofanis, Levan Tchabashvili, Ioannis Perdikaris, Theano Perri, Charalampos Kaplanis, Dimitrios Filis

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Abstract

A 48-year-old patient presented acutely in our emergency department, reporting a fainting episode that took place several minutes prior, as well as contin-uous rectal blood loss. The patient’s prior medical his-tory 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 nu-merous 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 he-moglobin (Hb) values of 7.0 g/dl

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一种治疗IV级内痔病的综合方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Przegla̜d Gastroenterologiczny GASTROENTEROLOGY & HEPATOLOGY-

CiteScore

2.20

自引率

7.70%

发文量

审稿时长

6-12 weeks

期刊介绍： Gastroenterology Review is a journal published each 2 months, aimed at gastroenterologists and general practitioners. Published under the patronage of Consultant in Gastroenterology and Polish Pancreatic Club.