Autonomic dysreflexia resulting from prolapsed hemorrhoids : report of a case
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. Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the...
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| Veröffentlicht in: | Diseases of the colon & rectum 1994-05, Vol.37 (5), p.492-493 |
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| container_issue | 5 |
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| container_title | Diseases of the colon & rectum |
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| creator | HAWKINS, R. L BAILEY, H. R DONNOVAN, W. H |
| description | 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.
Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy.
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.
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. |
| doi_str_mv | 10.1007/BF02076197 |
| format | Article |
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Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy.
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.
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.</description><identifier>ISSN: 0012-3706</identifier><identifier>EISSN: 1530-0358</identifier><identifier>DOI: 10.1007/BF02076197</identifier><identifier>PMID: 8181413</identifier><identifier>CODEN: DICRAG</identifier><language>eng</language><publisher>Secaucus, NJ: Springer</publisher><subject>Adult ; Biological and medical sciences ; Cerebrospinal fluid. Meninges. Spinal cord ; Follow-Up Studies ; Hemorrhoids - etiology ; Hemorrhoids - physiopathology ; Hemorrhoids - surgery ; Humans ; Male ; Medical sciences ; Nervous system (semeiology, syndromes) ; Neurology ; Quadriplegia - complications ; Quadriplegia - physiopathology ; Rectal Prolapse - etiology ; Rectal Prolapse - physiopathology ; Rectal Prolapse - surgery ; Reflex, Abnormal</subject><ispartof>Diseases of the colon & rectum, 1994-05, Vol.37 (5), p.492-493</ispartof><rights>1994 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c270t-46484e6079a5f4cc52cfa6db33def9b27b91e2e50d0c6145f275e78d1a9cdbb23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=4107598$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/8181413$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HAWKINS, R. L</creatorcontrib><creatorcontrib>BAILEY, H. R</creatorcontrib><creatorcontrib>DONNOVAN, W. H</creatorcontrib><title>Autonomic dysreflexia resulting from prolapsed hemorrhoids : report of a case</title><title>Diseases of the colon & rectum</title><addtitle>Dis Colon Rectum</addtitle><description>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.
Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy.
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.
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.</description><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Follow-Up Studies</subject><subject>Hemorrhoids - etiology</subject><subject>Hemorrhoids - physiopathology</subject><subject>Hemorrhoids - surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Quadriplegia - complications</subject><subject>Quadriplegia - physiopathology</subject><subject>Rectal Prolapse - etiology</subject><subject>Rectal Prolapse - physiopathology</subject><subject>Rectal Prolapse - surgery</subject><subject>Reflex, Abnormal</subject><issn>0012-3706</issn><issn>1530-0358</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1994</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1Lw0AQhhdRaq1evAt7EA9CdD-zibdarAoVL3oOm91ZG0mydTcB--9NaainYXgfXmYehC4puaOEqPvHJWFEpTRXR2hKJScJ4TI7RlNCKEu4IukpOovxe1h34ARNMppRQfkUvc37zre-qQy22xjA1fBbaRwg9nVXtV_YBd_gTfC13kSweA2ND2HtKxvxw4BtfOiwd1hjoyOcoxOn6wgX45yhz-XTx-IlWb0_vy7mq8QwRbpEpCITkBKVa-mEMZIZp1Nbcm7B5SVTZU6BgSSWmJQK6ZiSoDJLdW5sWTI-Qzf73uGwnx5iVzRVNFDXugXfx0KlQjHBsgG83YMm-Lh7r9iEqtFhW1BS7NwV_-4G-Gps7csG7AEdZQ359ZjraHTtgm5NFQ-YoETJPON_vKJ2EQ</recordid><startdate>19940501</startdate><enddate>19940501</enddate><creator>HAWKINS, R. L</creator><creator>BAILEY, H. R</creator><creator>DONNOVAN, W. H</creator><general>Springer</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19940501</creationdate><title>Autonomic dysreflexia resulting from prolapsed hemorrhoids : report of a case</title><author>HAWKINS, R. L ; BAILEY, H. R ; DONNOVAN, W. H</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c270t-46484e6079a5f4cc52cfa6db33def9b27b91e2e50d0c6145f275e78d1a9cdbb23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1994</creationdate><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Follow-Up Studies</topic><topic>Hemorrhoids - etiology</topic><topic>Hemorrhoids - physiopathology</topic><topic>Hemorrhoids - surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Quadriplegia - complications</topic><topic>Quadriplegia - physiopathology</topic><topic>Rectal Prolapse - etiology</topic><topic>Rectal Prolapse - physiopathology</topic><topic>Rectal Prolapse - surgery</topic><topic>Reflex, Abnormal</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HAWKINS, R. L</creatorcontrib><creatorcontrib>BAILEY, H. R</creatorcontrib><creatorcontrib>DONNOVAN, W. H</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Diseases of the colon & rectum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HAWKINS, R. L</au><au>BAILEY, H. R</au><au>DONNOVAN, W. H</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Autonomic dysreflexia resulting from prolapsed hemorrhoids : report of a case</atitle><jtitle>Diseases of the colon & rectum</jtitle><addtitle>Dis Colon Rectum</addtitle><date>1994-05-01</date><risdate>1994</risdate><volume>37</volume><issue>5</issue><spage>492</spage><epage>493</epage><pages>492-493</pages><issn>0012-3706</issn><eissn>1530-0358</eissn><coden>DICRAG</coden><abstract>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.
Following an unsuccessful attempt at conservative treatment which included bulk agents and warm compresses, the patient subsequently underwent three-column, closed surgical hemorrhoidectomy.
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.
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.</abstract><cop>Secaucus, NJ</cop><pub>Springer</pub><pmid>8181413</pmid><doi>10.1007/BF02076197</doi><tpages>2</tpages></addata></record> |
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| ispartof | Diseases of the colon & rectum, 1994-05, Vol.37 (5), p.492-493 |
| issn | 0012-3706 1530-0358 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete; Alma/SFX Local Collection |
| subjects | Adult Biological and medical sciences Cerebrospinal fluid. Meninges. Spinal cord Follow-Up Studies Hemorrhoids - etiology Hemorrhoids - physiopathology Hemorrhoids - surgery Humans Male Medical sciences Nervous system (semeiology, syndromes) Neurology Quadriplegia - complications Quadriplegia - physiopathology Rectal Prolapse - etiology Rectal Prolapse - physiopathology Rectal Prolapse - surgery Reflex, Abnormal |
| title | Autonomic dysreflexia resulting from prolapsed hemorrhoids : report of a case |
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