Delayed-onset bleeding after transrectal prostate biopsy presenting as a rectal Dieulafoy's lesion.

Delayed-onset bleeding after transrectal prostate biopsy presenting as a rectal Dieulafoy's lesion.
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经直肠前列腺活检后迟发性出血表现为直肠Dieulafoy病损。

DOI:
10.1055/a-1858-4893
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发表时间:
2022-12
期刊:
影响因子:
9.3
通讯作者:
--
中科院分区:
医学1区
文献类型:
--
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直肠出血是与经直肠前列腺活检相关的众所周知的不良事件,发生频率为 0% 至 37%[1]。大多数出血是轻微的,可以通过保守治疗解决。严重出血并不常见,但可能危及生命,影响高达 1% 的接受经直肠前列腺活检的患者[2]。直肠出血通常在活检后立即发生。迟发性出血很少见,尽管已有几例报道[3][4]。在此,我们介绍一例经直肠前列腺活检后迟发性严重出血的病例,经内镜夹闭成功治疗([视频 1])。
Rectal bleeding is a well-known adverse event related to transrectal prostate biopsy, with a frequency ranging from 0% to 37%[1]. Most bleeding is mild and resolves with conservative management. Severe bleeding, affecting up to 1% of patients undergoing transrectal prostate biopsy, is uncommon but can be life-threatening [2]. Rectal bleeding typically occurs immediately after the biopsy. Delayed-onset bleeding is rare although several cases have been reported [3][4]. Herein, we present a case of delayed-onset severe bleeding after transrectal prostate biopsy, which was successfully treated with endoscopic clipping ([Video 1]).
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