What are the absolute contraindications to emergent excision of thrombosed external hemorrhoids?

Updated: Apr 08, 2020
  • Author: Brett Wallace Lorber, MD, MPH, FACEP; Chief Editor: Erik D Schraga, MD  more...
  • Print

Absolute contraindications to thrombosed external hemorrhoid excision in the emergency department (ED) include the following:

  • Any concern that the lesion may be something other than a thrombosed external hemorrhoid, such as a painless rectal mass (thrombosed external hemorrhoids are always painful)
  • A grade IV internal hemorrhoid associated with a thrombosed external hemorrhoid
  • Known severe coagulopathy
  • Hemodynamic instability

Did this answer your question?
Additional feedback? (Optional)
Thank you for your feedback!