Question

A 28-year-old man presents with painless rectal bleeding and a palpable anal mass. Examination reveals a firm, nonreducible hemorrhoid with thrombosis. He is otherwise healthy. What is the most appropriate management?

Accepted Answer

Excisional thrombectomy within 72 hours of symptom onset

Answer

Immediate surgical hemorrhoidectomy

Answer

Rubber band ligation

Answer

Topical corticosteroids only

Answer

Observation only

Practice question

A 28-year-old man presents with painless rectal bleeding and a palpable anal mass. Examination reveals a firm, nonreducible hemorrhoid with thrombosis. He is otherwise healthy. What is the most appropriate management?