Transient Ischemic Rectitis as a Potential Complication after Prostatic Artery Embolization: Case Report and Review of the Literature

Journal Article · Sun Dec 15 00:00:00 EST 2013 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-013-0739-3· OSTI ID:22207951

Moreira, Airton Mota, E-mail: [e-mail] ^[1]; Marques, Carlos Frederico Sparapan, E-mail: [e-mail] ^[2]; Antunes, Alberto Azoubel, E-mail: [e-mail] ^[3]; Nahas, Caio Sergio Rizkallah, E-mail: [e-mail]; Nahas, Sergio Carlos, E-mail: [e-mail] ^[2]; Gregorio Ariza, Miguel Angel de, E-mail: [e-mail] ^[4]; Carnevale, Francisco Cesar, E-mail: [e-mail] ^[1]

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1. University of Sao Paulo Medical School, Division of Interventional Radiology, Department of Radiology (Brazil)
2. University of Sao Paulo Medical School, Colorectal Surgery Division, Department of Gastroenterology (Brazil)
3. University of Sao Paulo Medical School, Department of Urology (Brazil)
4. University of Zaragoza, Division of Minimally Invasive Image Guided Surgery (Spain)

Prostatic artery embolization (PAE) is an alternative treatment for benign prostatic hyperplasia. Complications are primarily related to non-target embolization. We report a case of ischemic rectitis in a 76-year-old man with significant lower urinary tract symptoms due to benign prostatic hyperplasia, probably related to nontarget embolization. Magnetic resonance imaging revealed an 85.5-g prostate and urodynamic studies confirmed Inferior vesical obstruction. PAE was performed bilaterally. During the first 3 days of follow-up, a small amount of blood mixed in the stool was observed. Colonoscopy identified rectal ulcers at day 4, which had then disappeared by day 16 post PAE without treatment. PAE is a safe, effective procedure with a low complication rate, but interventionalists should be aware of the risk of rectal nontarget embolization.

• OSTI ID: 22207951
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 36, Issue 6; Other Information: Copyright (c) 2013 Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); http://www.springer-ny.com; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD
EMBOLI
NMR IMAGING
PROSTATE
RECTUM
REVIEWS
SYMPTOMS
ULCERS
URINARY TRACT
VASCULAR DISEASES