Abstract
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.
