1st order for severe pain and fresh anal vein thrombosis.
- Incision (“cutting”) and expression (squeezing) of the thrombus [risk of early recurrence/early recurrence and marisco formation/skin fold in the anus area].
- Excision (surgical removal) of the entire affected area, including vessel.
Further note
- Acute hemorrhoidal thrombosis should primarily be treated conservatively. Note: Anal vein thrombosis refers to thrombosis of a perianal vein (as opposed to acute hemorrhoidal thrombosis: Thrombosis (obstruction of a blood vessel by a clot) of one or more hemorrhoidal nodes).
