A rare case of delayed massive rectal bleeding, after transrectal ultrasound- guided prostate biopsy, requiring a multidisciplinary approach treatment

Stefano Manno, Camilla Capretti, Teresa Del Giudice, Olga Bisaccia, Lucio Dell Atti


Rectal bleeding seen after a transrectal ultrasound-guided prostate biopsy is often mild and self-limiting. We report a rare case of delayed massive rectal bleeding, post transrectal ultrasound-guided biopsy, in a man in active surveillance for prostate carcinoma, without risk factors for bleeding.

We managed this complication with a successfully angiographic embolization.

We present this case in detail and we analyze the possible causes of this complication.


prostate biopsy; rectal bleeding; transrectal-ultrasound

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DOI: 10.5457/ams.v49i1.512