Work

Primary anal lymphoma in a patient that underwent hemorrhoidectomy

Year: 2014

Type: article

Abstract: A 40-year-old man with no pathologic medical history was diagnosed with grade III hemorrhoidal disease through anoscopy. A proximal organic problem was ruled out after flexible rectosigmoidoscopy that extended up to 55 cm from the anal margin. A Ferguson hemorrhoidectomy of the 3 main bundles was performed. He was released from the hospital 24 hours after the surgery and finished his outpatient consultation at 30 days with closed wounds and no signs of infection. The histopathologic study reported hemorrhoidal bundles with ingurgitation. He returned 45 days after his release from the outpatient service complaining of anal pain, the sensation of a mass, bleeding, and diarrhea. Physical examination revealed a circumferential, indurated, 8 × 8 cm tumor in the perianal region with a hyperemic and bluish-purple appearance (fig. 1). It was limited to the anal duct and did not involve the rectum. The ELISA test for HIV was carried out and confirmed by a positive Western-Blot test; this test had not been done prior to the surgery. A biopsy was taken and the histopathologic study

Source: Revista de Gastroenterología de México (English Edition)

DOI: 10.1016/j.rgmxen.2014.12.003

Authors: C.Z. Díaz Barrientos, R.M. Osorio Hernández, T. Navarrete Cruces

Institution: Hospital General de México

Language: English

Topic: Colorectal and Anal Carcinomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,200