摘要
The development of Fourniers gangrene after Milligan Morgan hemorrhoidectomy of a previously healthy 76 year old female patient is described. After such a common surgical procedure, the patient developed full thickness skin necrosis of the perianal region including the rectum. Immediate radical debridement was mandatory. Because of rectal involvement, a diverting sigmoid colostomy was required. The rectum had to be removed by abdominoperineal resection. This disastrous complication was completely unexpected and unpredictable after Milligan Morgan hemorrhoidectomy because of the lack of predisposing factors.
The development of Fourniers gangrene after Milligan Morgan hemorrhoidectomy of a previously healthy 76 year old female patient is described. After such a common surgical procedure, the patient developed full thickness skin necrosis of the perianal region including the rectum. Immediate radical debridement was mandatory. Because of rectal involvement, a diverting sigmoid colostomy was required. The rectum had to be removed by abdominoperineal resection. This disastrous complication was completely unexpected and unpredictable after Milligan Morgan hemorrhoidectomy because of the lack of predisposing factors.
