[Pulsatile perineal hematoma after transrectal prostatic biopsy]
M J Vallina Vázquez1, J M Gutiérrez Julián, F Vega Gutiérrez
1Hospital General, Oviedo, Asturias, España.
Objective:
A case of pulsatile perineal hematoma following transrectal biopsy of the prostate is presented.
Methods:
A patient who had undergone transrectal biopsy of the prostate a few days earlier complained of a pulsatile sensation in the perineal region caused by a pseudoaneurysm of a left hypogastric artery. Patient evaluation included echo Doppler, pelvioabdominal CT and arteriography. Transcatheter intraarterial embolization with Gianturco-Wallace coils was performed.
Results:
Excellent results were achieved. Filling of the aneurysm was immediately reduced and symptoms disappeared.
Conclusion:
This technique is gaining importance in the treatment of pelvic hemorrhage because it is relatively simple and carries a low morbidity and mortality.
