skip to main content

SciTech ConnectSciTech Connect

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

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.
Authors:
 [1] ;  [2] ;  [3] ; ;  [2] ;  [4] ;  [1]
  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)
Publication Date:
OSTI Identifier:
22207951
Resource Type:
Journal Article
Resource Relation:
Journal Name: Cardiovascular and Interventional Radiology; Journal Volume: 36; Journal 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)
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; ARTERIES; BLOOD; EMBOLI; NMR IMAGING; PROSTATE; RECTUM; REVIEWS; SYMPTOMS; ULCERS; URINARY TRACT; VASCULAR DISEASES