Late-onset rectal bleeding with hemorrhagic shock after transrectal prostate needle biopsy
Late-onset rectal bleeding with hemorrhagic shock after transrectal prostate needle biopsy
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DOI：
10.1016/j.eucr.2018.08.023
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发表时间：
2018-11-01
影响因子：
0.5
通讯作者：
Katagiri, Akiyoshi
中科院分区：
文献类型：
--
作者：
Ando, Takashi;Watanabe, Kazuhiro;Katagiri, Akiyoshi
经直肠前列腺穿刺活检后迟发性直肠出血可能危及生命。我们报告一位75岁男性在接受经直肠前列腺穿刺活检后3天出现严重直肠出血的病例。由于保守治疗无法阻止出血，因此进行了紧急结直肠内镜夹闭（两次）和选择性血管造影术。需要输注浓缩红细胞（共14个单位）治疗出血性休克。经直肠前列腺穿刺活检后直肠出血，结肠直肠内镜检查和动脉栓塞是有效的治疗方法，应毫不犹豫地进行。
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.