title: Severe Life Threatening Rectal Bleed After Prostate Biopsy Requiring Angiographic Therapy: A Case Report.
abstract: Rectal bleeding is often seen in patients who undergo transrectal ultrasound-guided prostate biopsy. It is usually mild and stops spontaneously. We report what we believe is the first case of life threatening rectal bleeding following this procedure which was successfully treated with angiographic embolization. An endoscopic injection of epinephrine done on admission achieved only temporary hemostasis and the patient developed a second episode of massive rectal bleeding that warranted angiographic treatment. We present this case in detail and review other alternatives for treating fulminant rectal bleed which is a consequence of this procedure.
authors.affiliation: Division of Gastroenterology, Bronx Lebanon Hospital Center, Bronx, New York 10457, USA.
authors.forename: Ariyo
authors.initials: A
authors.lastname: Ihimoyan
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York 10457, USA.
authors.forename: Raghu
authors.initials: R
authors.lastname: Maddela
authors.affiliation: Department of Medicine, Bronx Lebanon Hospital Center, Bronx, New York 10457, USA.
authors.forename: Nirisha
authors.initials: N
authors.lastname: Kalakada
authors.affiliation: Division of Gastroenterology, Bronx Lebanon Hospital Center, Bronx, New York 10457, USA.
authors.forename: Kavitha
authors.initials: K
authors.lastname: Kumbum
keywords: Rectal bleeding; TRUS-guided prostate biopsy