Transient Ischemic Rectitis as a Potential Complication after Prostatic Artery Embolization: Case Report and Review of the Literature

Prostatic artery embolization (PAE) is an alternative treatment for benign prostatic hyperplasia. Complications are primarily related to non-target embolization. We report a case of ischemic rectitis in a 76-year-old man with significant lower urinary tract symptoms due to benign prostatic hyperplas...

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Published inCardiovascular and interventional radiology Vol. 36; no. 6; pp. 1690 - 1694
Main Authors Moreira, Airton Mota, Marques, Carlos Frederico Sparapan, Antunes, Alberto Azoubel, Nahas, Caio Sergio Rizkallah, Nahas, Sérgio Carlos, de Gregorio Ariza, Miguel Ángel, Carnevale, Francisco Cesar
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.12.2013
Springer Nature B.V
Subjects
Aged
ARTERIES
BLOOD
Cardiology
Case Report
Colonoscopy - methods
EMBOLI
Embolization, Therapeutic - adverse effects
Embolization, Therapeutic - methods
Follow-Up Studies
Humans
Imaging
Inflammation - etiology
Magnetic Resonance Imaging - methods
Male
Medicine
Medicine & Public Health
NMR IMAGING
Nuclear Medicine
PROSTATE
Prostate - blood supply
Prostate - pathology
Prostatic Hyperplasia - therapy
Radiology
RADIOLOGY AND NUCLEAR MEDICINE
Rectal Diseases - etiology
RECTUM
Rectum - pathology
REVIEWS
SYMPTOMS
Treatment Outcome
ULCERS
Ultrasound
URINARY TRACT
VASCULAR DISEASES
Rectitis
Benign prostatic hyperplasia
Complications
Prostatic artery embolization
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Summary:Prostatic artery embolization (PAE) is an alternative treatment for benign prostatic hyperplasia. Complications are primarily related to non-target embolization. We report a case of ischemic rectitis in a 76-year-old man with significant lower urinary tract symptoms due to benign prostatic hyperplasia, probably related to nontarget embolization. Magnetic resonance imaging revealed an 85.5-g prostate and urodynamic studies confirmed Inferior vesical obstruction. PAE was performed bilaterally. During the first 3 days of follow-up, a small amount of blood mixed in the stool was observed. Colonoscopy identified rectal ulcers at day 4, which had then disappeared by day 16 post PAE without treatment. PAE is a safe, effective procedure with a low complication rate, but interventionalists should be aware of the risk of rectal nontarget embolization.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
ObjectType-Article-3
ISSN:0174-1551
1432-086X
DOI:10.1007/s00270-013-0739-3