Transient Ischemic Rectitis as a Potential Complication after Prostatic Artery Embolization: Case Report and Review of the Literature
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- 作者：Airton Mota Moreira (1) (5)
Carlos Frederico Sparapan Marques (2)
Alberto Azoubel Antunes (3)
Caio Sergio Rizkallah Nahas (2)
Sérgio Carlos Nahas (2)
Miguel ángel de Gregorio Ariza (4)
Francisco Cesar Carnevale (1) - 关键词：Benign prostatic hyperplasia ; Complications ; Prostatic artery embolization ; Rectitis
- 刊名：CardioVascular and Interventional Radiology
- 出版年：2013
- 出版时间：December 2013
- 年：2013
- 卷：36
- 期：6
- 页码：1690-1694
- 全文大小：
- 作者单位：Airton Mota Moreira (1) (5)
Carlos Frederico Sparapan Marques (2)
Alberto Azoubel Antunes (3)
Caio Sergio Rizkallah Nahas (2)
Sérgio Carlos Nahas (2)
Miguel ángel de Gregorio Ariza (4)
Francisco Cesar Carnevale (1)
1. Division of Interventional Radiology, Department of Radiology, University of S?o Paulo Medical School, S?o Paulo, Brazil
5. Campevas Street, 370, Apt 110-Perdizes, S?o Paulo, SP, CEP 05016-010, Brazil
2. Colorectal Surgery Division, Department of Gastroenterology, University of S?o Paulo Medical School, S?o Paulo, Brazil
3. Department of Urology, University of S?o Paulo Medical School, S?o Paulo, Brazil
4. Division of Minimally Invasive Image Guided Surgery, University of Zaragoza, Zaragoza, Spain - ISSN：1432-086X
文摘
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.