@article {McCloud:April 2007:0035-8843:301, author = "McCloud, J.M.", author = "Doucas, H.", author = "Scott, A.D.N.", author = "Jameson, J.S.", title = "Delayed presentation of life-threatening perineal sepsis following stapled haemorrhoidectomy: a case report", journal = "Annals of The Royal College of Surgeons of England", volume = "89", year = "April 2007", abstract = "Fournier's gangrene has been described after injection sclerotherapy and banding of haemorrhoids as well as after conventional haemorrhoidectomy. In addition, there have been several cases following stapled haemorrhoidopexy. A patient with this complication nearly always presents within the first week following surgery. We present an illustrative case of a patient who underwent stapled haemorrhoidopexy for prolapsed haemorrhoids and presented with fever, urinary retention and peri-anal pain 39 days later. At re-operation, there was extensive peri-anal necrosis. After wide excision and fashioning of a colostomy, the patient recovered. Our case shows that late presentation can occur.", pages = "301-302(2)", url = "http://www.ingentaconnect.com/content/rcse/arcs/2007/00000089/00000003/art00024" doi = "doi:10.1308/003588407X179134" }