The squelching hip: a sign of life-threatening sepsis following haemorrhoidectomy

James Robert Berstock, John Bunni, Alexander Peter Torrie

Research output: Contribution to journalArticle (Academic Journal)peer-review

3 Citations (Scopus)


We report a case of fulminating infection tracking from the left ischiorectal fossa to the popliteal fossa as a consequence of rectal perforation 11 days following traditional Milligan-Morgan haemorrhoidectomy. The case presented as a loud squelching noise coming from the hip on walking. Extensive cellulitis was evident over the posterior aspect of the thigh, with a deep fluctuant collection in the left buttock that communicated with the posterior compartment of the thigh. Per rectal examination revealed a defect in the rectal wall, with a foul-smelling discharge. Extensive thigh incision and drainage, defunctioning colostomy, multiple washouts, and split skin grafting procedures were performed. The patient has now recovered.

Original languageEnglish
Pages (from-to)W39-41
JournalAnnals of the Royal College of Surgeons of England
Issue number5
Publication statusPublished - Jul 2010


  • Aged
  • Cellulitis
  • Hemorrhoids
  • Hip Joint
  • Humans
  • Intestinal Perforation
  • Male
  • Noise
  • Postoperative Complications
  • Rectal Diseases
  • Sepsis

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