%0 Journal Article
%T Endoscopic Band Ligation to Treat a Massive Hemorrhoidal Hemorrhage Following a Transrectal Ultrasound-Guided Prostate Biopsy
%A Kirk J. Wangensteen
%A Nadim Mahmud
%J Archive of "Annals of Coloproctology".
%D 2018
%R 10.3393/ac.2018.34.1.47
%X Prostate cancer is commonly diagnosed by using a transrectal ultrasound (TRUS)-guided biopsy. Although this procedure is usually well tolerated, rarely it may be complicated by massive rectal bleeding. We report a case of a 77-year-old male who underwent a TRUS biopsy and subsequently developed recurrent episodes of rectal bleeding with syncope and anemia requiring the transfusion of multiple units of blood. A sigmoidoscopy revealed the source of the bleeding: a large hemorrhoid on the anterior wall of the rectum with an overlying ulceration. We successfully applied a band to ligate the hemorrhoid, and the patient's condition improved. To our knowledge, this case represents the first report of a successful band ligation to treat massive bleeding from a hemorrhoid that had been punctured in the course of the TRUS biopsy procedure
%K Transrectal ultrasound
%K Prostate biopsy
%K Rectal bleeding
%K Hemorrhage
%K Band ligation
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5847404/