Endoscopic therapy of a massive rectal bleeding after prostate biopsy

被引：17

作者：

Braun, Kay-P. ^{[1
]}

May, Matthias ^{[1
]}

Helke, Christian ^{[1
]}

Hoschke, Bernd ^{[1
]}

Ernst, Helmut ^{[1
]}

机构：

[1] Univ Teaching & Acad Hosp, Carl Thiem Hosp, Dept Med 4, Charit Berlin, D-03048 Cottbus, Germany

来源：

INTERNATIONAL UROLOGY AND NEPHROLOGY | 2007年 / 39卷 / 04期

关键词：

endoscopic injection; massive rectal bleeding; prostate biopsy; prostate cancer;

D O I：

10.1007/s11255-007-9175-0

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

We report on the case of a 65-year-old man with an indication for a transrectal multibiopsy of the prostate based on a PSA value of 4.5 ng/ml. A massive haemoglobin effective rectal bleeding occurred post-intervention, which due to haemodynamic instability required the administration of erythrocyte concentrates. Both manual compression and rectal tamponade failed to stop the bleeding, and immediate haemostasis was achieved through an endoscopic injection of adrenaline. We present this case in detail and additionally describe current data on the complications of the ultrasound-guided transrectal biopsy of the prostate and the options for treating the fulminant rectal bleeding that is a consequence of this procedure.

引用

收藏

页码：1125 / 1129

页数：5

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