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Revista mexicana de urología
versión On-line ISSN 2007-4085versión impresa ISSN 0185-4542
Resumen
BERGERO, MA. et al. Selective angioembolization in a patient with bleeding and hemodynamic instability from open prostate adenomectomy. Rev. mex. urol. [online]. 2017, vol.77, n.3, pp.225-229. Epub 04-Jun-2021. ISSN 2007-4085.
BACKGROUND:
Severe bleeding after prostate surgery is an uncommon, but serious, complication that traditionally requires a new surgical intervention. Thanks to the latest advances in interventional radiology, prostatic bleeding can be successfully resolved through angioembolization.
CLINICAL CASE:
A 65-year-old man with a lengthy history of lower urinary tract symptoms due to benign prostatic hyperplasia, and under pharmacologic treatment, arrived at the emergency room with urinary retention. During his hospitalization, the patient underwent open prostate adenomectomy. In the recovery room, he experienced severe bleeding with a rapid decrease in hemoglobin concentration (7 g/dL) and hemodynamic instability. The patient immediately underwent emergency arteriography with selective arterial embolization that successfully resolved the bleeding.
Palabras llave : Prostate; Bleeding; Angiography; Embolization.
