title: Endoscopic therapy of a massive rectal bleeding after prostate biopsy.
abstract: We report on the case of a 65-year-old man with an indication for a transrectal multibiopsy of the prostate based on a PSA value of 4.5 ng/ml. A massive haemoglobin effective rectal bleeding occurred post-intervention, which due to haemodynamic instability required the administration of erythrocyte concentrates. Both manual compression and rectal tamponade failed to stop the bleeding, and immediate haemostasis was achieved through an endoscopic injection of adrenaline. We present this case in detail and additionally describe current data on the complications of the ultrasound-guided transrectal biopsy of the prostate and the options for treating the fulminant rectal bleeding that is a consequence of this procedure.
authors.affiliation: IV. Medical Department, Carl- Thiem- Hospital Cottbus, University Teaching and Academic Hospital, Charité zu Berlin, Thiemstr. 111, Cottbus, 03048, Germany.
authors.forename: Kay-P
authors.initials: KP
authors.lastname: Braun
authors.forename: Matthias
authors.initials: M
authors.lastname: May
authors.forename: Christian
authors.initials: C
authors.lastname: Helke
authors.forename: Bernd
authors.initials: B
authors.lastname: Hoschke
authors.forename: Helmut
authors.initials: H
authors.lastname: Ernst
mesh_terms: D000368:Aged; D001707:Biopsy, Needle / Q000009:adverse effects*; D016099:Endoscopy, Gastrointestinal; D019160:Endosonography; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D011472:Prostatitis / Q000000981:diagnostic imaging / Q000473:pathology*