Catastrophic sepsis and hemorrhage following transrectal ultrasound guided prostate biopsies

Authors

  • Paul Toren Division of Urology, Department of Surgery, University of Toronto, Toronto, ON
  • Roshan Razik Division of Urology, Department of Surgery, University of Toronto, Toronto, ON
  • John Trachtenberg Division of Urology, Department of Surgery, University of Toronto, Toronto, ON

DOI:

https://doi.org/10.5489/cuaj.785

Abstract

We report 2 cases of catastrophic complications following routine
transrectal ultrasound guided prostate biopsy. The first patient
incurred near-fatal septic shock due to multi-resistant Escherichia
coli. Due to the severity of his shock, he developed bilateral leg
gangrene requiring amputations. The second patient incurred significant
hemorrhage eventually requiring an emergent general
anesthesia and surgical management to control hemorrhage after
other measures failed. While rare events, these reports emphasize
the caution needed for physicians who routinely order prostate
biopsies.

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Author Biographies

Paul Toren, Division of Urology, Department of Surgery, University of Toronto, Toronto, ON

Roshan Razik, Division of Urology, Department of Surgery, University of Toronto, Toronto, ON

John Trachtenberg, Division of Urology, Department of Surgery, University of Toronto, Toronto, ON

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How to Cite

Toren, P., Razik, R., & Trachtenberg, J. (2013). Catastrophic sepsis and hemorrhage following transrectal ultrasound guided prostate biopsies. Canadian Urological Association Journal, 4(1), E12-E14. https://doi.org/10.5489/cuaj.785

Issue

Vol. 4 No. 1 (2010): CUAJ February

Section

Case Report

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