Open AccessEndoclipping treatment of life-threatening rectal bleeding after prostate biopsy
Author(s) -
Panagiotis Katsinelos,
Jannis Kountouras,
Georgios Dimitriadis,
Grigoris Chatzimavroudis,
Christos Zavos,
Ioannis Pilpilidis,
George Paroutoglou,
G. Germanidis,
Kostas Mimidis
Publication year - 2009
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.15.1130
Subject(s) - medicine , prostate biopsy , prostate , biopsy , hemostasis , surgery , rectal administration , clips , rectum , endoscopy , rectal examination , fulminant , radiology , cancer
Rectal bleeding is frequently seen in patients undergoing transrectal ultrasound (TRUS)-guided multiple biopsy of the prostate, but is usually mild and stops spontaneously. We report what is believed to be the first case of life-threatening rectal bleeding following this procedure, which was successfully treated by endoscopic intervention through placement of three clips on the sites of bleeding. This case emphasizes endoscopic intervention associated with endoclipping as a safe and effective method to achieve hemostasis in massive rectal bleeding after prostate biopsy. Additionally, current data on the complications of the TRUS-guided multiple biopsy of the prostate and the options for treating fulminant rectal bleeding, a consequence of this procedure, are described.