Massive rectal bleeding after prostate biopsy controlled by endoclipping in a patient using ASA

Authors

  • Bora Özveren Asistant Professor of Urology Acıbadem University, Faculty of Medicine, Istanbul, Turkey
  • Levent Türkeri Professor of Urology, Marmara University, Faculty of Medicine, Istanbul, Turkey

DOI:

https://doi.org/10.5489/cuaj.1390

Abstract

A case of severe rectal bleeding following transurethral ultrasound (TRUS)-guided prostate biopsy is reported. Rectal bleeding is considered a minor, transient complication of this standard diagnostic procedure that can usually be controlled successfully by conservative measures. In this case where the patient had been taking acetylsalicylic acid (ASA), massive bleeding required hospitalization and blood transfusions. Conservative treatment attempts were not succesful, and profuse rectal bleeding was eventually treated by colonoscopy and endoclipping of the bleeding vessel. Although generally regarded as a less significant complication, rectal bleeding may rarely be encountered as a life-threatening situation. Furthermore, conservative therapeutic approach to this minor complication may be ineffective in patients taking ASA. Early endoscopic intervention may be necessary to prevent blood transfusion and prolonged hospitalization in severe rectal bleeding after TRUS biopsy.

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Published

2013-06-12

How to Cite

Özveren, B., & Türkeri, L. (2013). Massive rectal bleeding after prostate biopsy controlled by endoclipping in a patient using ASA. Canadian Urological Association Journal, 7(5-6), e442–4. https://doi.org/10.5489/cuaj.1390

Issue

Vol. 7 No. 5-6 (2013): CUAJ June 2013

Section

Case Report

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