Edematous and painful external hemorrhoids following intersphincteric resection for low rectal cancer

Quor Meng Leong, Dong Nyoung Son, Se Jin Baek, Jae Sung Cho, Azali Amar, Jung Myun Kwak, Seon Hahn Kim

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)


Intersphincteric resection (ISR) is the ultimate sphincter saving procedure for low rectal cancer. Hemorrhoids are a common benign condition. We present and discuss a case of ISR which developed painful edematous hemorrhoids after ISR. A 62-year-old female with low rectal cancer received neoadjuvant chemoradiotherapy with successful down staging of tumor before undergoing robot assisted ISR with coloanal hand-sewn anastomosis. She had pre-existing external hemorrhoids which were not excised. She developed painful and edematous external hemorrhoids 4 days after surgery. These were treated conservatively before discharge. Many colorectal surgeons performing ISR have experienced similar situations in their patients, but none have reported on this phenomenon. We discuss the possible factors that may contribute to this situation. A possible solution is prophylactic excision of the hemorrhoids during coloanal anastomosis. Painful hemorrhoids may occur after ISR and if managed conservatively, the outcome is skin tags.

Original languageEnglish
Pages (from-to)S39-S42
JournalJournal of the Korean Surgical Society
Issue numberSUPPL. 1
Publication statusPublished - 2011 Dec


  • Hemorrhoids
  • Intersphincteric resection
  • Rectal neoplasms

ASJC Scopus subject areas

  • Surgery


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