Pelvic hematoma following transrectal ultrasound-guided prostate needle biopsy: A case report and literature review

• Main Authors: Yuan-Hung Pong, Yu-Chuan Lu, Vinscent F.S. Tsai, Chao-Yuan Huang
• Format: Article
• Language: English
• Published: Wolters Kluwer Medknow Publications 2014-12-01
• Series: Urological Science
• Subjects: hemorrhagic complication; pelvic hematoma; prostate biopsy
• Online Access: http://www.sciencedirect.com/science/article/pii/S1879522613000833
• ISSN: 1879-5226

Transrectal ultrasound-guided prostate (TRUS-P) needle biopsy is a common procedure for detection of prostate cancer. Complications associated with TRUS-P biopsy are almost always minor and do not require hospitalization. Pelvic hematoma following TRUS-P biopsy is an extremely rare complication. Only a few cases have been reported in the past. Here we report the case of a 67-year-old man diagnosed with pelvic hematoma following TRUS-P biopsy who presented with tenderness in the lower abdomen and ecchymosis in the paraumbilical region, lower abdomen, and scrotum. To our knowledge, no other case has been reported in Taiwan. Therefore, we discuss this case report and review the literature associated with complication of TRUS-P biopsies.