Katsinelos P, Kountouras J, Dimitriadis G, Chatzimavroudis G, Zavos C, Pilpilidis I, Paroutoglou G, Germanidis G, Mimidis K. Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy. World J Gastroenterol 2009; 15(9): 1130-1133 [PMID: 19266608 DOI: 10.3748/wjg.15.1130]
Corresponding Author of This Article
Dr. Panagiotis Katsinelos, Department of Endoscopy and Motility Unit, Central Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece. gchatzim@med.auth.gr
Article-Type of This Article
Case Report
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World J Gastroenterol. Mar 7, 2009; 15(9): 1130-1133 Published online Mar 7, 2009. doi: 10.3748/wjg.15.1130
Endoclipping treatment of life-threatening rectal bleeding after prostate biopsy
Panagiotis Katsinelos, Jannis Kountouras, Georgios Dimitriadis, Grigoris Chatzimavroudis, Christos Zavos, Ioannis Pilpilidis, George Paroutoglou, George Germanidis, Kostas Mimidis
Panagiotis Katsinelos, Grigoris Chatzimavroudis, Ioannis Pilpilidis, George Paroutoglou, George Germanidis, Kostas Mimidis, Department of Endoscopy and Motility Unit, Central Hospital, 54635 Thessaloniki, Greece
Jannis Kountouras, Christos Zavos, Department of Gastroenterology, Second Medical Clinic, Aristotle University of Thessaloniki, Ippokration Hospital, 54635 Thessaloniki, Greece
Georgios Dimitriadis, First Department of Urology, Aristotle University of Thessaloniki, Central Hospital, 54635 Thessaloniki, Greece
Author contributions: Katsinelos P was the main endoscopist; Zavos C and Pilpilidis I analyzed and interpreted the patient data; Paroutoglou G, Germanidis G and Mimidis K reviewed the relative literature; Katsinelos P and Chatzimavroudis G wrote the paper; Kountouras J and Dimitriadis G were contributors in revising the manuscript critically for intellectual content.
Correspondence to: Dr. Panagiotis Katsinelos, Department of Endoscopy and Motility Unit, Central Hospital, Ethnikis Aminis 41, 54635 Thessaloniki, Greece. gchatzim@med.auth.gr
Telephone: +30-2310-963341
Fax: +30-2310-210401
Received: September 29, 2008 Revised: January 9, 2009 Accepted: January 16, 2009 Published online: March 7, 2009
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.
