Related Experiment Video
Updated: Dec 26, 2025
05:35
Transperineal Prostate Biopsy Using a Cone-shaped Double-hole Method with Dual-plane Probe Guidance
Published on: June 6, 2025
1.1K
Rectal perforation following endorectal prostate MRI: an unexpected complication
I Hsu1, Chia-Chen Lee2, Ming-Jenn Chen3,4
1Division of plastic surgery, Department of Surgery, Chi-Mei Medical Center, Tainan, Taiwan. Polarbear558@hotmail.com.
BMC Urology
|March 19, 2020
Summary
Rectal perforation is a rare complication of prostate magnetic resonance imaging (MRI). This case highlights the importance of careful technique and patient selection to prevent serious outcomes from this common diagnostic procedure.
Area of Science:
- Urology
- Radiology
- Gastroenterology
Background:
- Prostate cancer diagnosis frequently utilizes prostate magnetic resonance imaging (MRI).
- Rectal perforation is an exceedingly rare complication associated with endorectal prostate MRI.
- Systemic comorbidities may increase risks for perforation during endoscopic procedures.
Observation:
- A 56-year-old male presented with acute abdominal pain post-prostate MRI.
- Abdominal CT revealed extraluminal air and pneumoperitoneum, indicating rectal perforation.
- Emergency surgery, including rectal perforation repair and colostomy, was necessitated.
Findings:
- Endorectal prostate MRI is generally a safe diagnostic modality.
- Potential complications include hollow organ perforation, particularly with inadequate lubrication or over-insufflation.
- Prompt surgical intervention is crucial for managing persistent peritoneal symptoms.
Implications:
- Patients undergoing prostate MRI should be informed of potential rare complications like rectal perforation.
- Clinicians must exercise caution, especially with patients at high anesthetic risk.
- Awareness of potential complications is vital for safe procedural execution.
Related Concept Videos
01:22Esophageal Perforation-I: Introduction
336
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
336
01:28Esophageal Perforation-II: Clinical Manifestations and Management
373
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
373
01:26Aneurysm III: Interprofessional Care
187
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
187
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
771
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
771
01:26Endoscopic Procedures V: ERCP
2.2K
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
2.2K
01:14Imaging Studies I: CT and MRI
711
Introduction: MRI and CT scans are crucial advancements in medical imaging techniques, playing a vital role in diagnosing conditions related to the gastrointestinal (GI) system. Each scan serves distinct purposes, targets specific areas, and requires unique nursing duties.
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
Description of the Procedures
Computed Tomography (CT) scan:
Computed Tomography (CT) scans use X-ray technology to generate detailed images of bones, organs, and tissues. During the scan, the patient lies on a moving table...
711