Abstract
Anatomically, the veins present in the rectal submucous layer are organised as internal and external haemorrhoidal plexus. Haemorrhoids develop due to abnormal varicose dilatations of the venous plexus in the
rectal submucous layer. Haemorrhoidal disease is a common anorectal condition affecting 4% of the adult
population. As far as prevalence is concerned, data is not easily available. Underreporting is very common
and large numbers of cases are asymptomatic.
A 72years old male patient presented to emergency department with severe pain and per rectal bleeding
due to third degree prolapsed haemorrhoids. He had co-morbidity of hypertension, diabetes and was
asthmatic. His blood pressure was 180/96mmhg and blood random sugar was 330mg/dl, on examination of
chest basal crepts were present and wheezing was also auscultated in the chest. The case was diagnosed
as a complication of third degree haemorrhoid post banding attempt by an inexperienced GP. It was third
or early fourth degree haemorrhoids, which was difficult to differentiate due to prolapse. The case was
followed for 1 year, with no complications. Third degree haemorrhoids can be catered under local anesthesia.
Asma Niaz Khan. (2017) Third Degree Haemorrhoidal-prolapse: A Case Presented To Emergency Department, The Pakistan Journal of Medicine and Dentistry, Volume-6, Issue-2.
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