Severe Life Threatening Rectal Bleed After Prostate Biopsy Requiring Angiographic Therapy: A Case Report

Ariyo Ihimoyan, Raghu Maddela, Nirisha Kalakada, Kavitha Kumbum

Abstract


Rectal bleeding is often seen in patients who undergo transrectal ultrasound-guided prostate biopsy. It is usually mild and stops spontaneously. We report what we believe is the first case of life threatening rectal bleeding following this procedure which was successfully treated with angiographic embolization. An endoscopic injection of epinephrine done on admission achieved only temporary hemostasis and the patient developed a second episode of massive rectal bleeding that warranted angiographic treatment. We present this case in detail and review other alternatives for treating fulminant rectal bleed which is a consequence of this procedure.




Gastroenterol Res. 2010;3(5):213-215
doi: https://doi.org/10.4021/gr237w

Keywords


Rectal bleeding; TRUS-guided prostate biopsy

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