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Clin Colon Rectal Surg
DOI: 10.1055/s-0043-1777663
Review Article

Management of Acute Hemorrhoidal Crisis: Evaluation, Treatment, and Special Considerations

Ayman Khan
1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
,
Arielle E. Kanters
1   Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
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Abstract

Hemorrhoidal disease is one of most common pathologies seen by colorectal and general surgeons. Although hemorrhoids themselves are a normal anatomic occurrence, development of symptomatic disease, usually due to bleeding, prolapse, or thrombosis, can cause significant patient distress. Acute presentation related to significant thrombosis or bleeding is referred to as acute hemorrhoidal crisis. Management of this pathology varies from nonoperative intervention for symptom control to definitive incisional or excisional hemorrhoidectomy. Here we will explore the approach to evaluating and treating acute hemorrhoidal crises.

Keywords

hemorrhoid - hemorrhoidal crisis - thrombosed hemorrhoids


Publication History

Article published online:
28 December 2023

© 2023. Thieme. All rights reserved.

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