Severe rectal bleeding after transrectal US-guided prostate biopsy. Case report

The Authors report their experience about a case of severe rectal bleeding after transrectal ultrasound-guided prostate biopsy. After correct and sure diagnosis, the patient was submitted to resolutive endoscopic haemostatic treatment (failure of haemostatic mechanical manoeuvres, emergency colonsco...

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Bibliographic Details
Published inIl Giornale di chirurgia Vol. 27; no. 8-9; pp. 321 - 323
Main Authors Geraci, G, Sciumè, C, Pisello, F, Facella, T, Modica, G
Format Journal Article
LanguageItalian
Published Italy 01.08.2006
Subjects
Biopsy, Needle - adverse effects
Biopsy, Needle - methods
Gastrointestinal Hemorrhage - etiology
Humans
Male
Middle Aged
Prostate - diagnostic imaging
Prostate - pathology
Rectal Diseases - etiology
Rectum
Severity of Illness Index
Ultrasonography
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Summary:The Authors report their experience about a case of severe rectal bleeding after transrectal ultrasound-guided prostate biopsy. After correct and sure diagnosis, the patient was submitted to resolutive endoscopic haemostatic treatment (failure of haemostatic mechanical manoeuvres, emergency colonscopy, haemostasis with sclerotherapy, heat bipolar probe and Argon Plasma Coagulation). Complete recovery (immediate stop bleeding). Follow-up (1 year) negative. Rectal bleeding after prostate biopsy is a important but rare complication of prostate cancer screening, potentially lethal. Best knowledge of causes and risk factors may improve the diagnosis and standardize the treatment. The prostatic biopsy is surely the best procedure for the screening of prostate cancer in the population, associated with PSA dosage.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ISSN:0391-9005