Hemorrhagic Shock from Massive Retroperitoneal and Pelvic Hematoma After Stapled Hemorrhoidopexy

Review Data

Q: Is the topic relevant to the journal's area of interest? Is it contemporary and interesting for

researchers?

A: Good

Abstract & Keywords

Q: Are all required components included in the abstract? Are the keywords appropriately chosen?

A: Good

Goal

Q: Is the goal explicitly stated in the Introduction? Is its formulation clear and unambiguous?

A: Good

Structure

Q: Is the paper's structure coherent? Is it in coherence with the goal of the paper?

A: Good

Tools and Methods

Q: Are the methods the author uses adequate and well used?

A: Good

Discussion & Conclusion

Q: Is it related to the results presented before? Do you consider them as coherent?

A: Good

Comments: The Discussion gives an outline of the hemorrhoidal disease providing its estimated prevalence. It further discusses the most common complication following prolapsed Hemorrhoids (PPH) providing relevant literature. The report also brings forth the limitations of the study. The conclusion suggests that patients may develop significant retroperitoneal and pelvic bleeding after PPH. A broad differential diagnosis is required to identify hemorrhagic shock. Lastly, the authors propose that rapid identification and intervention of the bleeding source are required to prevent life-threatening conditions.

Literature

Q: Does the author utilize relevant literature?

A: Good

Author's knowledge

Q: What is the level of the author’s knowledge? Does the author utilize all recent contributions relevant to the topic?

A: Good

Length

Q: Is the paper's length adequate to the topic's significance? Do you suggest shortening the paper without losing its value?

A: Good

Figures & Tables

Q: Does the author use them suitably? Are legend and notations clear?

A: Good

Writing style

Q: Is it clear and understandable?

A: Good

Further comments on the paper

Comments: The Case Report illustrates the Hemorrhagic shock from massive retroperitoneal and pelvic hematoma after stapled hemorrhoidopexy. The report describes the treatment procedure with colonoscopy and stapled hemorrhoidectomy in a 64-year-old patient who presented with grade III internal hemorrhoid. The authors suggest that in a patient with a history of chronic anticoagulation – intraluminal, retroperitoneal, and pelvic bleeding should be considered if the patient remains in hemorrhagic shock after stapled hemorrhoidectomy.

Q: Would you recommend this manuscript for further publication?

A: Yes - Suitable to be published

If you have any questions and clarifications you can write to the journal.

Thanks,
Science Repository Team