Delayed Massive pelvic haemorrhage following colorectal anastomotic leak and its management

Kim Seon Hahn, Karthikeyan Selvaraju, MS, MRCSEd

Korean University Anam Hospital, Seoul

One of the serious complications of anastomotic leak following rectal surgeries is delayed massive haemorrhage from the presacral veins due to pelvic sepsis. Life threatening post operative haemorrhage after colorectal surgeries is uncommon but a well recognised complication with majority of the bleeding being from the anastomotic site. Although bleeding from the anastomotic site is well documented and various managements have been outlined delayed bleeding from the presacral vein due to pelvic sepsis after total mesorectal excision has not been reported. This kind of secondary haemorrhage is uncommon and management of this complication is technically challenging. We present two cases with similar presentation and describe a simple but efficient technique of managing this rare complication.

Session: Poster Presentation

Program Number: P030

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