Late-onset rectal bleeding with hemorrhagic shock after transrectal prostate needle biopsy

Takashi Ando; Kazuhiro Watanabe; Takaki Mizusawa; Akiyoshi Katagiri

doi:10.1016/j.eucr.2018.08.023

Late-onset rectal bleeding with hemorrhagic shock after transrectal prostate needle biopsy

Urol Case Rep. 2018 Sep 4:21:41-43. doi: 10.1016/j.eucr.2018.08.023. eCollection 2018 Nov.

Authors

Takashi Ando¹, Kazuhiro Watanabe¹, Takaki Mizusawa¹, Akiyoshi Katagiri¹

Affiliation

¹ Department of Urology, Niigata Prefectural Central Hospital, Shinnancho 205, Jouetsushi, Niigata, 943-0192, Japan.

Abstract

Late-onset rectal bleeding after transrectal prostate needle biopsy is potentially life-threatening. We report the case of a 75-year-old male who presented with severe rectal bleeding 3 days after transrectal prostate needle biopsy. Because the bleeding could not be arrested by conservative treatment, emergent colorectal endoscopic clipping (twice) and elective angiography were performed. Packed red blood cell transfusion (14 units in total) was required to treat the developed hemorrhagic shock. Colorectal endoscopy and arterial embolization are effective treatments for severe rectal bleeding after transrectal prostate needle biopsy and should be performed without hesitation.

Keywords: Arterial bleeding; Hemorrhagic shock; Prostate biopsy; Rectal bleeding.

Publication types

Case Reports