Abstract | INTRODUCTION: Ultrasound-guided transrectal prostatic biopsy is generally a well-tolerated radiological technique with low overall complication ratio. If post-biopsy rectal bleeding occurs, conservative management is effective in the majority of cases. Endoscopic or interventional treatment is rarely required. CASE PRESENTATION: We report the case of an 82-year-old white man presenting with massive rectal bleeding after ultrasound-guided prostatic biopsy. Medical and endoscopic management were not effective. Angiographic evaluation revealed a prostatic arteriovenous fistula, and definitive treatment was provided in the form of catheter-directed superselective embolotherapy. CONCLUSION: Transrectal prostatic biopsy may be associated with massive rectal bleeding. Transcatheter embolotherapy can be effective in definitively stopping the bleeding.
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Authors | Tom De Beule, Kenneth Carels, Sabine Tejpar, Ben Van Cleynenbreugel, Raymond Oyen, Geert Maleux |
Journal | Journal of medical case reports
(J Med Case Rep)
Vol. 9
Pg. 242
(Oct 29 2015)
ISSN: 1752-1947 [Electronic] England |
PMID | 26511334
(Publication Type: Case Reports, Journal Article)
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Topics |
- Aged, 80 and over
- Biopsy
(adverse effects)
- Catheters
- Embolization, Therapeutic
(methods)
- Gastrointestinal Hemorrhage
(etiology, therapy)
- Humans
- Male
- Prostate
(pathology)
- Rectum
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