Treatment of grade four hemorrhoids in a patient with acute myeloid leukemia with severe thrombocytopenia by laser hemorrhoidopexy: A case report

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dc.contributor.authorGoyal, Neerajen_US
dc.contributor.authorTiwari, Shraiyaen_US
dc.date.accessioned2023-08-09T06:16:09Z
dc.date.available2023-08-09T06:16:09Z
dc.date.issued2023-05
dc.description.abstractHere, we present the case of a 66-year-old female patient with acute myeloid leukemia and severe thrombocytopenia who came with the complaints of painful per anal mass and bleeding per rectum for 1 year. The patient is a known case of hypertension, and diabetes mellitus and has received three cycles of chemotherapy with decitabine. On examination, she was found to have fourth-degree hemorrhoids at 3, 7, and 11 oclock positions with acute edematous changes. We successfully treated this patient with laser hemorrhoidopexy, whereby laser energy was delivered to each hemorrhoidal cushion. While lasers for the successful treatment of grade 2 and 3 hemorrhoids are well documented in the literature, we successfully treated this patient with prolapsing fourth-degree hemorrhoids with just laser energy delivery. With these results, we would also like to consider laser hemorrhoidopexy as an effective treatment option for four-degree hemorrhoids for which open Milligan–Morgan hemorrhoidectomy and stapler hemorrhoidectomy are currently considered treatment optionsen_US
dc.identifier.affiliationsProfessor, Department of General Surgery, Max Super Speciality Hospital, Patparganj, New Delhi, Indiaen_US
dc.identifier.citationGoyal Neeraj, Tiwari Shraiya. Treatment of grade four hemorrhoids in a patient with acute myeloid leukemia with severe thrombocytopenia by laser hemorrhoidopexy: A case report. Indian Journal of Case Reports. 2023 May; 9(5): 138-141en_US
dc.identifier.issn2454-1303
dc.identifier.issn2454-129X
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/222317
dc.languageenen_US
dc.publisherMansa STM Publishersen_US
dc.relation.issuenumber5en_US
dc.relation.volume9en_US
dc.source.urihttps://doi.org/10.32677/ijcr.v9i5.3965en_US
dc.subjectAcute myeloid leukemiaen_US
dc.subjectHemorrhoidsen_US
dc.subjectLaser hemorrhoidopexyen_US
dc.subjectPainen_US
dc.subjectThrombocytopeniaen_US
dc.titleTreatment of grade four hemorrhoids in a patient with acute myeloid leukemia with severe thrombocytopenia by laser hemorrhoidopexy: A case reporten_US
dc.typeJournal Articleen_US
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