Haemorrhoidal disease in pregnancy

被引：12

作者：

Abramowitz, Laurent ^{[1
]}

Benabderrhamane, Dalila ^{[1
]}

Philip, Julie ^{[1
]}

Pospait, Dan ^{[1
]}

Bonin, Noel ^{[1
]}

Merrouche, Mohamed ^{[1
]}

机构：

[1] Hop Bichat Claude Bernard, Serv Hepatogastroenterol, Unite Proctol Med Chirurg, F-75722 Paris 18, France

来源：

PRESSE MEDICALE | 2011年 / 40卷 / 10期

关键词：

ANAL-FISSURE; DISORDERS; DELIVERY;

D O I：

10.1016/j.lpm.2011.06.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Haemorrhoidal disease in pregnancy External hemorrhoids thrombosis affects 8% of women during last trimester pregnancy and 20% of women immediately after delivery. Their treatment is medical with local treatment (with corticoid and anesthetic), defecation regulation and paracetamol. NSAID can be used after delivery in absence of breath-feeding. Local excision is not possible in most of the cases because of inflammation. Surgery has to be an exception because medical treatment is sufficient in almost all cases. Anal fissure is the most frequent differential diagnosis, encountered in 15% after all deliveries. Symptoms associate anal pain during and after defecation with blood on toilet paper. The only identified risk factor for hemorrhoids thrombosis (and anal fissure) is dyschesio. We have to think about it.

引用

页码：955 / 959

页数：5