[Pulsatile perineal hematoma after transrectal prostatic biopsy].
OBJECTIVE
A case of pulsatile perineal hematoma following transrectal biopsy of the prostate is presented.


METHODS
A patient who had undergone transrectal biopsy of the prostate a few days earlier complained of a pulsatile sensation in the perineal region caused by a pseudoaneurysm of a left hypogastric artery. Patient evaluation included echo Doppler, pelvioabdominal CT and arteriography. Transcatheter intraarterial embolization with Gianturco-Wallace coils was performed.


RESULTS
Excellent results were achieved. Filling of the aneurysm was immediately reduced and symptoms disappeared.


CONCLUSIONS
This technique is gaining importance in the treatment of pelvic hemorrhage because it is relatively simple and carries a low morbidity and mortality.
Vallina Vázquez
M J
MJ
Hospital General, Oviedo, Asturias, España.
Gutiérrez Julián
J M
JM
Vega Gutiérrez
F
F
Suárez Hevia
M
M
Carreño Morrondo
A
A
Fernández Solares
I
I
Menéndez Herrero
M A
MA
Llaneza Coto
J M
JM
Rodríguez Olay
J
J
Alvarez Fernández
L J
LJ
D001706:Biopsy / Q000009:adverse effects*; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010502:Perineum