Endoscopic Band Ligation to Treat a Massive Hemorrhoidal Hemorrhage Following a Transrectal Ultrasound-Guided Prostate Biopsy
- Author:
Nadim MAHMUD
1
;
Kirk J WANGENSTEEN
Author Information
- Publication Type:Case Report
- Keywords: Transrectal ultrasound; Prostate biopsy; Rectal bleeding; Hemorrhage; Band ligation
- MeSH: Aged; Anemia; Biopsy; Hemorrhage; Hemorrhoids; Humans; Ligation; Male; Prostate; Prostatic Neoplasms; Rectum; Sigmoidoscopy; Syncope; Ulcer; Ultrasonography
- From:Annals of Coloproctology 2018;34(1):47-51
- CountryRepublic of Korea
- Language:English
- Abstract: Prostate cancer is commonly diagnosed by using a transrectal ultrasound (TRUS)-guided biopsy. Although this procedure is usually well tolerated, rarely it may be complicated by massive rectal bleeding. We report a case of a 77-year-old male who underwent a TRUS biopsy and subsequently developed recurrent episodes of rectal bleeding with syncope and anemia requiring the transfusion of multiple units of blood. A sigmoidoscopy revealed the source of the bleeding: a large hemorrhoid on the anterior wall of the rectum with an overlying ulceration. We successfully applied a band to ligate the hemorrhoid, and the patient's condition improved. To our knowledge, this case represents the first report of a successful band ligation to treat massive bleeding from a hemorrhoid that had been punctured in the course of the TRUS biopsy procedure.
