{
  "abstract": "Currently, rubber band ligation and injection sclerotherapy represent the first-line therapeutic strategy for grade I-III internal hemorrhoids. As an invasive procedure, it may still cause postoperative complications, among which, rectal perforation is one of the most serious complications. This paper describes a patient treated at our facility who experienced a rectal perforation and presacral infection following rubber band ligation and injection sclerotherapy. In the first stage, we performed laparoscopic double-barreled transverse colostomy combined with anal irrigation and anal dilatation to achieve fecal diversion and adequate drainage of the infectious focus. The patient achieved a satisfactory postoperative recovery. Stoma reversal was performed 6 months after surgery. Rectal perforation combined with presacral infection is a rare but severe complication of rubber band ligation and sclerotherapy for hemorrhoids, among these, sclerotherapy is the primary factor, while rubber band ligation is a contributing factor. It is mostly related to inappropriate iatrogenic operative manipulation. Clinically, strict standardization of rubber band ligation and injection sclerotherapy procedures is required, and close surveillance of high-risk patients after surgery should be strengthened to avoid complications and prevent delayed diagnosis and intervention.",
  "abstract_shown": true,
  "affiliations": [
    "The Second Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, China.",
    "Department of Coloproctology, The Affiliated Guangzhou Hospital of TCM of Guangzhou University of Chinese Medicine, Guangzhou, China.",
    "Department of Proctology, Yinchuan Hospital of Traditional Chinese Medicine Affiliated to Ningxia Medicine University, Yinchuan, China.",
    "Department of Colorectal Surgery, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China."
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 8,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Yanqing Lu"
    },
    {
      "affs": [
        1
      ],
      "name": "Ziwen Wang"
    },
    {
      "affs": [
        2
      ],
      "name": "Zhenfu Shi"
    },
    {
      "affs": [
        3
      ],
      "name": "Zhi Jiang"
    },
    {
      "affs": [
        3
      ],
      "name": "Li Zhang"
    },
    {
      "affs": [
        3
      ],
      "name": "Guolian Gan"
    },
    {
      "affs": [
        3
      ],
      "name": "Zhen Zhou"
    },
    {
      "affs": [
        3
      ],
      "name": "Hao Wang"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/7y2mmb5zr811y.bib",
  "cited_by": 0,
  "doi": "10.3389/fmed.2026.1938366",
  "fulltext_url": "https://europepmc.org/articles/PMC13713612",
  "id": "7y2mmb5zr811y",
  "issns": [
    "2296-858X"
  ],
  "landing_url": "https://europepmc.org/article/MED/42952884",
  "language": "eng",
  "licence": "CC-BY",
  "licence_label": "CC BY",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Case Report"
    ],
    [
      "openalex",
      "2746|Anorectal Disease Treatments and Outcomes"
    ]
  ],
  "openalex": "W7221774420",
  "pdf_url": "https://europepmc.org/articles/PMC13713612?pdf=render",
  "pmcid": "PMC13713612",
  "pmid": "42952884",
  "published": "2026-10-14",
  "publisher": "Frontiers Media SA",
  "ris": "https://research.draconitic.com/paper/7y2mmb5zr811y.ris",
  "sources": [
    {
      "first_seen": "2026-10-31T00:20:41Z",
      "native_id": "MED:42952884",
      "source": "europepmc",
      "url": "https://europepmc.org/article/MED/42952884"
    },
    {
      "first_seen": "2026-10-31T12:24:08Z",
      "native_id": "PMC13713612",
      "source": "pmc",
      "url": "https://doi.org/10.3389/fmed.2026.1938366"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "openalex:2746|Anorectal Disease Treatments and Outcomes",
      "subfield": "surgery"
    }
  ],
  "title": "Case Report: Rectal perforation combined with presacral infection following rubber band ligation and sclerotherapy for hemorrhoids.",
  "title_text": "Case Report: Rectal perforation combined with presacral infection following rubber band ligation and sclerotherapy for hemorrhoids.",
  "type": "peer-reviewed",
  "updated_at": "2026-11-01T12:21:15Z",
  "url": "https://research.draconitic.com/paper/7y2mmb5zr811y",
  "venue": "Frontiers in medicine",
  "versions": []
}