The Role of Coagulation Mechanism in the Development of Acute Thrombosed Hemorrhoidal Disease

ABSTRACT Background Hemorrhoidal disease is a common benign anorectal disease. Acute thrombosis that occurs during the course of hemorrhoidal disease is a painful complication. Factors affecting its etiopathogenesis are not known definitively. The aim of this study, therefore, was to assess predisposition to coagulation during the development of the disease. Method 30 patients with acute thrombosed hemorrhoidal disease and 30 other patients with hemorrhoidal disease but no thromboses were included in the study. Samples collected from these patients were analyzed with thromboelastography machines. The results were compared with patients’ demographic data. Results No statistically significant difference was found between the groups as per age, sex, diarrhea, history of a similar attack, history of surgical treatment, spicy food consumption, fibrous food consumption, and regular exercise. The results of our study revealed that the alpha angle was smaller in patients with acute thrombosed hemorrhoidal disease. Conclusion Hypercoagulability does not occur in patients with acute thrombosed hemorrhoidal disease