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AIM: Haemorrhoids are the most common surgically-treated gastrointestinal disorder. Complications of this surgery are
generally non-neoplastic. Because rectal tumours usually present demonstratively during endoscopic examination, it is perhaps
tempting to omit histopathologic examination after haemorrhoidectomy, especially in younger patients.
METHODS: The AA present a case of an early rectal carcinoid discovered after surgical treatment of haemorrhoids in a
27 years old man as an example of why it is essential to send all such specimens in the pathologist.
RESULTS: The detection of early lesions permits the adequate follow-up necessary to preclude more extensive surgery and
eventually to prevent recurrence of tumour.
CONCLUSION: All tissue resected by haemorrhoidopexy must be sent to the pathology laboratory to protect the life and
health of the patient.