A life-threatening hematochesia after transrectal ultrasound-guided prostate needle biopsy in a prostate cancer case presenting with lymphedema

• DOI: 10.1007/s11255-004-8868-x
• Publication Date: 2005-02-18T18:21:38Z
• Authors: Yücel Üstündağ; Çetin Yeşilli; Selim Aydemir; Ahmet Savranlar; Kamuran Yazıcıoğlu
• Keywords: Nephrology; Prostate biopsy

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.