前列腺活检后的伪动脉瘤:病例报告
William Daly1, Daniel Pelzman1, P Dafe Ogagan1
1Department of Urology, University of Pittsburgh Medical Center, Pittsburgh, PA 15219, USA.
The Canadian journal of urology
|January 7, 2026
概括
在前列腺活检后观察到一种罕见的前列腺动脉伪动脉瘤,导致严重的直肠出血. 治疗涉及积极的复苏,自发止血,突出显示前列腺活检的潜在并发症.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 干预性放射学 干预性放射学
背景情况:
- 前列腺活检可以引起出血,但严重出血是罕见的.
- 前列腺动脉伪动脉瘤是前列腺活检后的未描述的并发症.
研究的目的:
- 在前列腺活检后报告前列腺动脉伪动脉瘤病例.
- 讨论这种罕见并发症的治疗方法.
主要方法:
- 一份病例报告显示,一名84岁的男性患者在前列腺活检后出现严重的直肠出血.
- 治疗包括大量输血和观察,自发停止出血.
- 血管栓塞是由患者推迟的.
主要成果:
- 病人被诊断为前列腺动脉伪动脉瘤,这是以前未经描述的并发症.
- 血流自发停止,没有任何干预.
- 在随访期间没有发现复发性出血.
结论:
- 前列腺动脉伪动脉瘤是前列腺活检的一个罕见但严重的并发症.
- 管理可能涉及积极的复苏和选择性干预放射学栓塞.
- 这一案例凸显了在切除术后严重出血的情况下考虑伪动脉瘤的重要性.
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