Korean J Androl.  2011 Dec;29(3):254-257. 10.5534/kja.2011.29.3.254.

Life-Threatening Hypovolemic Shock after Transrectal Ultrasonography Guided Prostate Biopsy: Treatment with Selective Arterial Embolization

• Shin HS
• Lee YH

• KMID: 2226461
• DOI: http://doi.org/10.5534/kja.2011.29.3.254

Abstract

Rectal bleeding is a frequent finding in patients after transrectal ultrasonography (TRUS)-guided prostate biopsy but is usually mild and stops spontaneously. We report herein a case of life-threatening hypovolemic shock due to rectal bleeding after TRUS-guided prostate biopsy that was successfully treated by selective arterial embolization. The aim of this report is to share our experiences of the management of massive rectal bleeding after prostate biopsy.

Keyword

Prostate; Biopsy; Shock; Therapeutic embolization

MeSH Terms

Biopsy
Embolization, Therapeutic
Hemorrhage
Humans
Hypovolemia
Prostate
Shock

Figure

• 

  Fig. 1. (A) Superselective arteriography revealed a small pseudoaneurysm of a branch of the left superior rectal artery (arrow) and fistula like lesion of the left middle rectal artery (arrow head) in an internal iliac arteriogram. (B) There were no more pseudoan-eurysms of the branch of the left superior rectal artery or fistula-like lesions of left middle rectal artery after embolization.

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