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Case Reports
. 2007 Sep;21(9):601-3.
doi: 10.1155/2007/106946.

Pylephlebitis and pyogenic liver abscesses: a complication of hemorrhoidal banding

Nicole G Chau  1 , Sacha Bhatia, Maitreyi Raman
Affiliations
Case Reports

Pylephlebitis and pyogenic liver abscesses: a complication of hemorrhoidal banding

Nicole G Chau et al. Can J Gastroenterol. 2007 Sep.

Abstract
in English, French

Hemorrhoidal banding is a well-established and safe outpatient procedure. Septic complications of hemorrhoidal banding are rare but can be fatal. The first case of pylephlebitis (septic portal vein thrombosis) and pyogenic liver abscess following hemorrhoidal banding in a 49-year-old man with diabetes is reported in the present study. Risk factors, management and the role of prophylaxis in immunocompromised patients are discussed. Caution against hemorrhoidal banding in immunosuppressed patients, including patients with diabetes, is warranted.

Le cerclage des hémorroïdes est une intervention établie et sécuritaire en consultations externes. Les complications septiques du cerclage des hémorroïdes sont rares mais peuvent être fatales. La présente étude rend compte du premier cas de pyléphlébite (thrombose de la veine porte avec septicémie) et d’abcès hépatique pyogène après un cerclage d’hémorroïdes chez un homme diabétique de 49 ans. On discute des facteurs de risque, de la prise en charge et du rôle de la prophylaxie chez les patients immunocompromis. Il faut faire preuve de prudence lors du cerclage d’hémorroïdes de patients immunosupprimés, y compris les patients diabétiques.

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Figures

Figure 1)
Figure 1)
Computed tomography scan of the abdomen showing right, left and main portal vein thrombosis, splenic and superior mesenteric vein thrombosis and small, hypodense liver lesions consistent with multifocal abscesses. Arrow indicates a lobulated hepatic abscess above the hilum
See this image and copyright information in PMC

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