Autonomic dysreflexia resulting from prolapsed hemorrhoids - Report of a case

Robert L. Hawkins, H. Randolph Bailey, William H. Donnovan

Research output: Contribution to journalArticle

9 Scopus citations

Abstract

PURPOSE: This article reports a case of autonomic dysreflexia associated with hemorrhoidal disease in a patient with high spinal cord lesions and successful treatment by surgical hemorrhoidectomy. METHODS: Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy. RESULTS: The patient was symptom free and had normal bowel activity six weeks postoperatively, and five-year follow-up showed no recurrence of the hemorrhoidal prolapse or dysreflexia. CONCLUSION: Carefully controlled hemorrhoidectomy, when conservative measures fail, may be effective in managing autonomic dysreflexia in high spinal cord transection patients when prolapse serves as the stimulus.

Original languageEnglish (US)
Pages (from-to)492-493
Number of pages2
JournalDiseases of the Colon & Rectum
Volume37
Issue number5
DOIs
StatePublished - May 1 1994

Keywords

  • Autonomic dysreflexia
  • Hemorrhoidectomy
  • Hemorrhoids
  • Spinal cord injury

ASJC Scopus subject areas

  • Gastroenterology

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