[Pulsatile perineal hematoma after transrectal prostatic biopsy].

Objective: A case of pulsatile perineal hematoma following transrectal biopsy of the prostate is presented.

Methods: A patient who had undergone transrectal biopsy of the prostate a few days earlier complained of a pulsatile sensation in the perineal region caused by a pseudoaneurysm of a left hypogastric artery. Patient evaluation included echo Doppler, pelvioabdominal CT and arteriography. Transcatheter intraarterial embolization with Gianturco-Wallace coils was performed.

Results: Excellent results were achieved. Filling of the aneurysm was immediately reduced and symptoms disappeared.

Conclusion: This technique is gaining importance in the treatment of pelvic hemorrhage because it is relatively simple and carries a low morbidity and mortality.