Sangrado Tardio Luego de Tratamiento con Macroligadura Elástica de Hemorroides

Hugo  A. Amarillo; Natalia  Di Primio; Luis  Montilla; Nicolas  Yromey

doi:10.46768/racp.v31i2.22

Hugo A. Amarillo Sección de Coloproctología, Sanatorio Modelo. Tucumán, Argentina.
Natalia Di Primio Sección de Coloproctología, Sanatorio Modelo. Tucumán, Argentina.
Luis Montilla Sección de Coloproctología, Sanatorio Modelo. Tucumán, Argentina.
Nicolas Yromey Sección de Coloproctología, Sanatorio Modelo. Tucumán, Argentina.

DOI: https://doi.org/10.46768/racp.v31i2.22

Keywords: Hemorrhoids, Rubber Band Ligation, Reis Neto, Non-Surgical Treatment

Abstract

ABSTRACT
Objetive: To present an infrequent clinical report of a case of late bleeding after rubber macroband ligation.
Case report: A 28-year-old female with severe rectal bleeding but no associated shock was presented 28 days after rubber macroband ligation at emergency room. Blood samples showed acute anemia. An urgent colonoscopy was performed which showed a scar without acute bleeding. Medical treatment was settled. There was no secondary bleeding in follow up. Endoscopic control was done at 60 and 180 days.
Discusion: Hemorrhoidal rubber macroband ligation is a modification of conventional rubber band ligation. It was proposed and developed by J.A. Reis Neto (Campinas, SP, Brazil). Morbidity is low and results are excellent. There is no previous report of delayed bleeding considering both rubber band and macroband ligation.
Conclusion: The First case of late bleeding after rubber band ligation treated with conservative measures.