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Thrombosed External HemorrhoidAka: Thrombosed Hemorrhoid

See Also
Pathophysiology
1. Complication of External Hemorrhoid
2. May follow sudden episode of increased anal pressure
  1. Coughing, sneezing, lifting or Defecation
Symptoms
1. Severe Anorectal Pain
2. Exascerbated by sitting, standing, or defecating
Signs
1. Tender and inflammed External Hemorrhoid
2. Hemorrhoid is tense, firm with underlying bluish clot
Management
1. See Hemorrhoid Management for general measures
2. See Thrombosed Hemorrhoidectomy (if <72 hours)
Course
1. Resolves in days to weeks regardless of surgery
2. Surgical excision within 72 hours shortens course
References
1. Pickard in Dornbrand (1992) Ambulatory Care, p. 226
2. Hulme-Moir (2001) Gastroenterol Clin North Am 30:183
3. Hussain (1999) Prim Care 26(1):35

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.