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CardioVascular and Interventional Radiology

, Volume 36, Issue 6, pp 1690–1694 | Cite as

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

  • Airton Mota MoreiraEmail author
  • Carlos Frederico Sparapan Marques
  • Alberto Azoubel Antunes
  • Caio Sergio Rizkallah Nahas
  • Sérgio Carlos Nahas
  • Miguel Ángel de Gregorio Ariza
  • Francisco Cesar Carnevale
Case Report

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.

Keywords

Benign prostatic hyperplasia Complications Prostatic artery embolization Rectitis 

Notes

Conflict of interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Science+Business Media New York and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE) 2013

Authors and Affiliations

  • Airton Mota Moreira
    • 1
    • 5
    Email author
  • Carlos Frederico Sparapan Marques
    • 2
  • Alberto Azoubel Antunes
    • 3
  • Caio Sergio Rizkallah Nahas
    • 2
  • Sérgio Carlos Nahas
    • 2
  • Miguel Ángel de Gregorio Ariza
    • 4
  • Francisco Cesar Carnevale
    • 1
  1. 1.Division of Interventional Radiology, Department of RadiologyUniversity of São Paulo Medical SchoolSão PauloBrazil
  2. 2.Colorectal Surgery Division, Department of GastroenterologyUniversity of São Paulo Medical SchoolSão PauloBrazil
  3. 3.Department of UrologyUniversity of São Paulo Medical SchoolSão PauloBrazil
  4. 4.Division of Minimally Invasive Image Guided SurgeryUniversity of ZaragozaZaragozaSpain
  5. 5.São PauloBrazil

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