Cacho GA, Mondragón BS, Fajardo GA

Language: Spanish
References: 8
Page: 415-418
PDF size: 102.25 Kb.

ABSTRACT

Prostatic biopsy (PB) is a procedure of broad use; complications that occur after implementation are minor and in general of little severity. However, in a low proportion of cases (‹ 1 %) there can be present profuse rectal bleeding, a complication that endangers the life of patients. We present the case of a male of 49 years of age on whom PB was carried out due to high levels of specific prostatic antigen. The patient presented after the procedure profuse rectal bleeding that caused hypovolemic shock. The patient was admitted to the emergency service two hours after the biopsy, put on absolute rest, and hypovolemic shock was treated with mixed solutions. No endoscopy study was performed because there was no evidence of rectal bleeding and he was discharged without bleeding evidence. Unlike what is reported in the literature, there was no need for carrying out a surgical procedure to restrain bleed-ing. We can conclude that patients submitted to PB are recommended to attend accompanied and must rest and remain seated after the procedure for at least 15 to 30 minutes. In addition, a conservative attitude is a recommendable option if the patient develops profuse rectal bleeding and stabilizes only with volume restitution, provided that hematochezia stops; otherwise, invasive maneuvers must be carried out.

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