Intestinal wall hematoma can occur after a blunt abdominal trauma or can be a spontaneous event. Spontaneous intramural rectal hematomas are rare but can occur in patients taking anticoagulant therapy or with hematologic disorders and associated blood clotting disorders. We present a case of a spontaneous symptomatic rectal wall hematoma occurred 10 years after a stapled hemorrhoidopexy which was successfully treated with non-operative management. Keywords: Hemorrhoids; Longo’s hemorrhoidopexy; Stapled hemorrhoidopexy; Long-term complication; Rectal wall hematoma.
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