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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.
Laracy JC, Regalbuto R, Block BL. Massive Rectal Hemorrhage After Prostate BiopsyA Teachable Moment. JAMA Intern Med. 2016;176(8):1064-1065. doi:10.1001/jamainternmed.2016.2525