大腸内視鏡にて止血し得た前立腺生検後出血

• 冨田 剛志

  高島平中央総合病院／外科・消化器科

• 栗原 雄司

  高島平中央総合病院／外科・消化器科

• 田中 政有

  高島平中央総合病院／外科・消化器科

• 柴野 成幸

  高島平中央総合病院／外科・消化器科

• 酒井 欣男

  高島平中央総合病院／外科・消化器科

書誌事項

タイトル別名

• Melena after transrectal biopsy of the prostate controlled by endoscopic clipping

抄録

A 75-year-old man with stranguria had a high serum prostate specific antigen (PSA) value (6.83 ng/ml). A transrectal biopsy of the prostate was performed for diagnostic purposes under general anesthesia. Ninety minutes after the procedure, shock with severe rectal melena was observed in the patient, resulting in a total blood loss of 600 ml. Dopamine and a blood transfusion were administered to maintain blood pressure. Hemostasis was achieved using three endoscopic clips. Cases with complications such as melena and rectal bleeding are thought to be on the increase as prostate biopsy is necessary to diagnose prostate cancer. This report shows that in such a case where astriction is unsuccessful, endoscopic clipping may be effective in controlling melena.

収録刊行物

• Progress of Digestive Endoscopy

  Progress of Digestive Endoscopy 82 (1), 194-195, 2013

  一般社団法人 日本消化器内視鏡学会 関東支部

キーワード

• 前立腺生検
• 大腸出血

詳細情報

• CRID: 1390001205439359232
• NII論文ID: 130004652820
• DOI: 10.11641/pde.82.1_194
• ISSN: 21874999
• ISSN: 13489844
• Web Site: https://www.jstage.jst.go.jp/article/pde/82/1/82_194/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/2013328327
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可