RESUMO
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.
