Hemorrhagic Shock After Transrectal Ultrasound-Guided Prostate Biopsy Successfully Treated With Endoscopic Therapy

• Published in: ACG case reports journal Vol. 10; no. 4; p. e01027
• Main Authors: Dave, Niel, Esmail Khan Ghasri, Rojin, Gonzalez, Hector H., Kaplan, Steven
• Format: Journal Article
• Language: English
• Published: United States Wolters Kluwer 01-04-2023
• Subjects: Case Report; Endoscopy; hematochezia; prostate biopsy; lower gastrointestinal bleeding; transrectal ultrasound-guided prostate biopsy; rectal bleed
• ISSN: 2326-3253; 2326-3253
• DOI: 10.14309/crj.0000000000001027

Prostate cancer is the second cause of cancer-related deaths among men in the United States. Transrectal ultrasound-guided prostate biopsy is the gold standard for diagnosis of prostate cancer. This is a relatively safe procedure, yet bears the small risk of hemorrhage. In rare instances, the bleeding may require emergent endoscopic or radiologic therapy. However, scarce literature exists depicting the appearance of the bleeding lesions and the successful endoscopic therapies used to treat them. In this report, we present a case of a 64-year-old man who developed massive bleeding after transrectal ultrasound-guided prostate biopsy that was successfully treated with epinephrine injection and endoscopic hemoclipping.