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

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Arquivos
art_MOREIRA_Transient_Ischemic_Rectitis_as_a_Potential_Complication_after_2013.PDF (320.12 KB)
Citações na Scopus
57
Tipo de produção
article
Data de publicação
2013
DOI
Scopus
Web of Science
PubMed
Título da Revista
ISSN da Revista
Título do Volume
Editora
SPRINGER
Autores
ARIZA, Miguel Angel de Gregorio
Citação
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY, v.36, n.6, p.1690-1694, 2013
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
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.
Palavras-chave
Benign prostatic hyperplasia, Complications, Prostatic artery embolization, Rectitis
URI
https://observatorio.fm.usp.br/handle/OPI/3878
Referências
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Coleções
Artigos e Materiais de Revistas Científicas - FM/MCG
Artigos e Materiais de Revistas Científicas - HC/ICESP
Artigos e Materiais de Revistas Científicas - HC/ICHC
Artigos e Materiais de Revistas Científicas - HC/InRad
Artigos e Materiais de Revistas Científicas - LIM/55
Artigos e Materiais de Revistas Científicas - ODS/03