Case List History Objectives Radiology Images Questions COLORECTAL DISEASE Case #5 - A healthy 33 year old with rectal bleeding DISCUSSION QUESTIONS: 7.) What are the indications for surgical treatment? Indications for surgical treatment: Large Grade 3 and 4 hemorrhoids that cannot be managed on an outpatient basis Mixed hemorrhoids with an external anoderm component that are not amenable to ligation Acutely thrombosed, incarcerated hemorrhoids with severe pain and impending gangrene
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