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CardioVascular and Interventional Radiology
Published in: CardioVascular and Interventional Radiology 6/2013

01-12-2013 | Case Report

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

Authors: Airton Mota Moreira, Carlos Frederico Sparapan Marques, Alberto Azoubel Antunes, Caio Sergio Rizkallah Nahas, Sérgio Carlos Nahas, Miguel Ángel de Gregorio Ariza, Francisco Cesar Carnevale

Published in: CardioVascular and Interventional Radiology | Issue 6/2013

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Abstract

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.
Literature
1.
Moore KL, Agur AMR, Dalley A (2008) Pelvis and perineum. Essential clinical anatomy. Lippincott Williams & Wilkins, Baltimore, pp 205–271
2.
Clegg EJ (1955) The arterial supply of the human prostate and seminal vesicles. J Anat 89:209–216PubMed
3.
Carnevale FC, da Motta-Leal-Filho JM, Antunes AA et al (2013) Quality of life and clinical symptoms improvement support prostatic artery embolization for patients with acute urinary retention due to benign prostatic hyperplasia. J Vasc Interv Radiol 24:535–542PubMedCrossRef
4.
Pisco JM, Pinheiro LC, Bilhim T et al (2011) Prostatic arterial embolization to treat benign prostatic hyperplasia. J Vasc Interv Radiol 22:11–19PubMedCrossRef
5.
Carnevale FC, da Motta-Leal-Filho JM, Antunes AA et al (2011) Midterm follow-up after prostate embolization in two patients with benign prostatic hyperplasia. Cardiovasc Intervent Radiol 34:1330–1333PubMedCrossRef
6.
Pisco JM, Rio Tinto H, Campos Pinheiro L et al (2013) Embolisation of prostatic arteries as treatment of moderate to severe lower urinary symptoms (LUTS) secondary to benign hyperplasia: results of short- and mid-term follow-up. Eur Radiol 23(9):2561–2572PubMedCrossRef
7.
Bilhim T, Pisco JM, Furtado A et al (2011) Prostatic arterial supply: demonstration by multirow detector Angio CT and Catheter Angiography. Eur Radiol 21:1119–1126PubMedCrossRef
8.
Miyayama S, Yamashiro M, Hashimoto M et al (2013) Identification of small hepatocellular carcinoma and tumor-feeding branches with cone-beam CT guidance technology during transcatheter arterial chemoembolization. J Vasc Interv Radiol 24:501–508PubMedCrossRef
9.
Antunes AA, Carnevale FC, da Motta-Leal-Filho JM et al (2013) Clinical, laboratorial and urodynamic findings of prostatic artery embolization for the treatment of urinary retention related to benign prostatic hyperplasia: a prospective single center pilot study. Cardiovasc Intervent Radiol 36(4):978–986PubMedCrossRef
10.
Carnevale FC, Antunes AA, da Motta Leal Filho JM et al (2010) Prostatic artery embolization as a primary treatment for benign prostatic hyperplasia: preliminar results in two patients. Cardiovasc Intervent Radiol 33:355–361PubMedCrossRef
Metadata
Title
Transient Ischemic Rectitis as a Potential Complication after Prostatic Artery Embolization: Case Report and Review of the Literature
Authors
Airton Mota Moreira
Carlos Frederico Sparapan Marques
Alberto Azoubel Antunes
Caio Sergio Rizkallah Nahas
Sérgio Carlos Nahas
Miguel Ángel de Gregorio Ariza
Francisco Cesar Carnevale
Publication date
01-12-2013
Publisher
Springer US
Published in
CardioVascular and Interventional Radiology / Issue 6/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI
https://doi.org/10.1007/s00270-013-0739-3

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