title: Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy.
abstract: Rectal bleeding is frequently seen in patients undergoing transrectal ultrasound (TRUS)-guided multiple biopsy of the prostate, but is usually mild and stops spontaneously. We report what is believed to be the first case of life-threatening rectal bleeding following this procedure, which was successfully treated by endoscopic intervention through placement of three clips on the sites of bleeding. This case emphasizes endoscopic intervention associated with endoclipping as a safe and effective method to achieve hemostasis in massive rectal bleeding after prostate biopsy. Additionally, current data on the complications of the TRUS-guided multiple biopsy of the prostate and the options for treating fulminant rectal bleeding, a consequence of this procedure, are described.
authors.affiliation: Department of Endoscopy and Motility Unit, Central Hospital, 54635 Thessaloniki, Greece. gchatzim@med.auth.gr
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Katsinelos
authors.forename: Jannis
authors.initials: J
authors.lastname: Kountouras
authors.forename: Georgios
authors.initials: G
authors.lastname: Dimitriadis
authors.forename: Grigoris
authors.initials: G
authors.lastname: Chatzimavroudis
authors.forename: Christos
authors.initials: C
authors.lastname: Zavos
authors.forename: Ioannis
authors.initials: I
authors.lastname: Pilpilidis
authors.forename: George
authors.initials: G
authors.lastname: Paroutoglou
authors.forename: George
authors.initials: G
authors.lastname: Germanidis
authors.forename: Kostas
authors.initials: K
authors.lastname: Mimidis
mesh_terms: D015415:Biomarkers / Q000097:blood; D001706:Biopsy / Q000009:adverse effects*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D011467:Prostate / Q000473:pathology*; D017430:Prostate-Specific Antigen / Q000097:blood; D013525:Surgical Instruments; D016896:Treatment Outcome
chemical_list: D015415:Biomarkers; D017430:Prostate-Specific Antigen