A life-threatening hematochesia after transrectal ultrasound-guided prostate needle biopsy in a prostate cancer case presenting with lymphedema.
A 62-year-old male presenting with lymphedema at the left lower extremity was diagnosed as prostatic carcinoma by an ultrasound-guided needle biopsy. Six days after the biopsy procedure, he developed severe hematochesia. Colonoscopy revealed an oozing visible vessel at the anterior rectal wall, a few centimeters from the anus. Endoscopic hemostasis with %1 athexysclerol was applicated with success. Rebleeding with same severity as the first one occurred 48 hours after the first bleeding and endoscopic hemostasis was successful again. Follow-up was uneventful.
Ustündağ
Yücel
Y
Department of Gastroenterology, Zonguldak Karaelmas University School of Medicine, Turkey.
Yeşilli
Cetin
C
Aydemir
Selim
S
Savranlar
Ahmet
A
Yazicioğlu
Kamuran
K
D001707:Biopsy, Needle / Q000009:adverse effects* / Q000379:methods; D003106:Colon / Q000293:injuries*; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology*; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology*; D006801:Humans; D008209:Lymphedema / Q000209:etiology*; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D011471:Prostatic Neoplasms / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D012007:Rectum; D014463:Ultrasonography