HEMORRHOIDS IN CHILDHOOD: A WELL-KNOWN AND OFT-NEGLECTED PATHOLOGY.

Abstract

Abstract: Introduction: This study aims to create awareness about hemorrhoids in childhood and their possible related pathologies. Material and Method: Patients, who were younger than 18 years old and diagnosed as hemorrhoid at the pediatric surgery clinic between 2015-2018, were included to the study. The patient selection was retrospectively made with searching the code K64.0-9 in the hospital registry system. The patients were evaluated according to age, gender, hemorrhoid type, complaints, ultrasonographic findings, accompanied diseases, durations of follow-up and treatment methods. Complementary statistics of the data were computed with the SPSS. Results: A total amount of 25 patients (M/F: 20/5) were included to the study. The average age of the patients was 10.08±4.725 years (2-17 years). The 8 patients were internal hemorrhoid and 17 patients were external hemorrhoid. A total amount of 8 patients had thrombosed hemorrhoid while the 6 of them were internal and 2 of them were external. The complaints in the frequency order were as follow; painful defecation (n=15), palpable hemorrhoid mass (n=10), constipation (n=10), rectal bleeding (n=3), and abdominal pain (n=1). Pathological findings were found in the ultrasonography of 4 patients (portal hypertension (n=1), pelvic kidney (n=1), internal echogenicities in bladder (n=1), mesenteric lymphadenitis (n=1). A patient with rectal bleeding received rectoscopy. Other patients had the non-surgical conservative treatment. The patient diagnosed as portal hypertension was also followed up by gastroenterology. Proper treatments were given for the other accompanied pathologies. After the 3 weeks-long treatments, the cure was obtained. Patients were followed for one month to 3 years. A patient had relapsed one year later. Conclusion: Although hemorrhoids in childhood seen rarely, they accompany very serious life-threatening diseases. They can be even the first findings of portal hypertension. Therefore, the hemorrhoid should be considered and the pathologies causing higher intraabdominal pressure should be investigated.

Full text

HEMORRHOIDS IN CHILDHOOD: A WELL-KNOWN AND
OFT-NEGLECTED PATHOLOGY.
Source: Erciyes Medical Journal / Erciyes Tip Dergisi . Mar2018, Vol. 40 Issue 1, pS15-S15. 1/2p.
Author(s): Tuncer, Ahmet Ali
Abstract:
Introduction: This study aims to create awareness about hemorrhoids in childhood and their possible related pathologies. Material
and Method: Patients, who were younger than 18 years old and diagnosed as hemorrhoid at the pediatric surgery clinic between
2015-2018, were included to the study. The patient selection was retrospectively made with searching the code K64.0-9 in the
hospital registry system. The patients were evaluated according to age, gender, hemorrhoid type, complaints, ultrasonographic
findings, accompanied diseases, durations of follow-up and treatment methods. Complementary statistics of the data were computed
with the SPSS. Results: A total amount of 25 patients (M/F: 20/5) were included to the study. The average age of the patients was
10.08±4.725 years (2-17 years). The 8 patients were internal hemorrhoid and 17 patients were external hemorrhoid. A total amount of
8 patients had thrombosed hemorrhoid while the 6 of them were internal and 2 of them were external. The complaints in the
frequency order were as follow; painful defecation (n=15), palpable hemorrhoid mass (n=10), constipation (n=10), rectal bleeding
(n=3), and abdominal pain (n=1). Pathological findings were found in the ultrasonography of 4 patients (portal hypertension (n=1),
pelvic kidney (n=1), internal echogenicities in bladder (n=1), mesenteric lymphadenitis (n=1). A patient with rectal bleeding received
rectoscopy. Other patients had the non-surgical conservative treatment. The patient diagnosed as portal hypertension was also
followed up by gastroenterology. Proper treatments were given for the other accompanied pathologies. After the 3 weeks-long
treatments, the cure was obtained. Patients were followed for one month to 3 years. A patient had relapsed one year later.
Conclusion: Although hemorrhoids in childhood seen rarely, they accompany very serious life-threatening diseases. They can be
even the first findings of portal hypertension. Therefore, the hemorrhoid should be considered and the pathologies causing higher
intraabdominal pressure should be investigated.
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