A life-threatening hematochesia after transrectal ultrasound-guided prostate needle biopsy in a prostate cancer case presenting with lymphedema
A life-threatening hematochesia after transrectal ultrasound-guided prostate needle biopsy in a prostate cancer case presenting with lymphedema
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DOI：
10.1007/s11255-004-8868-x
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发表时间：
2004-01-01
影响因子：
2
通讯作者：
Yazicioglu, Kamuran
中科院分区：
文献类型：
--
作者：
Ustundag, Yucel;Yesilli, Cetin;Yazicioglu, Kamuran
一位62岁男性，因左下肢水肿，经超音波导引下穿刺活检诊断为前列腺癌。活检手术后6天，他出现严重的血便。结肠镜检查发现在直肠前壁，离肛门几厘米处有一可见的渗出血管。使用%1athexysclerol成功进行内镜止血。在第一次出血后48小时发生了与第一次相同严重程度的再出血，内镜下止血再次成功。随访顺利。
A 62-year-old male presenting with lymphedema at the left lower extremity was diagnosed as prostatic carcinoma by an ultrasound-guided needle biopsy. Six days after the biopsy procedure, he developed severe hematochesia. Colonoscopy revealed an oozing visible vessel at the anterior rectal wall, a few centimeters from the anus. Endoscopic hemostasis with %1 athexysclerol was applicated with success. Rebleeding with same severity as the first one occurred 48 hours after the first bleeding and endoscopic hemostasis was successful again. Follow-up was uneventful.