Views 951
Citations 0
Teachable Moment
Less Is More
August 2016

Massive Rectal Hemorrhage After Prostate BiopsyA Teachable Moment

Author Affiliations
  • 1Department of Medicine, New York-Presbyterian Hospital, Columbia University Medical Center, New York, New York

Copyright 2016 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2016;176(8):1064-1065. doi:10.1001/jamainternmed.2016.2525

A man in his 70s with hypertension, hyperlipidemia, type 2 diabetes, chronic kidney disease, and peripheral arterial disease was found to have an elevated prostate-specific antigen (PSA) level of 6.1 μg/L on routine screening. He had no personal or family history of prostate cancer and no concerning findings on digital rectal examination. He was referred to a urologist for further evaluation and underwent an extended (12-core) transrectal prostate biopsy procedure. The procedure was complicated by persistent bleeding, prompting urgent referral to our emergency department.

First Page Preview View Large
First page PDF preview
First page PDF preview