Work

Subcutaneous hematoma of the lower abdomen and perineum following transperineal prostate biopsy: a case report and literature review

Year: 2026

Type: article

Abstract: Prostate cancer (PCa) is the most common malignant neoplasm of the urogenital system, with definitive diagnosis currently relying exclusively on prostate biopsy. Although the transperineal approach is associated with a lower incidence of perioperative complications, postoperative subcutaneous hematoma in the perineal region may be overlooked due to its anatomically concealed presentation, leading to delayed clinical attention. This report presents a case of extensive subcutaneous hematoma involving the lower abdomen and perineum following transperineal prostate biopsy in a patient diagnosed with PCa. Prompt management with prostatic artery angiography and superselective prostatic artery embolization, supplemented by endocrine therapy, resulted in rapid resolution of the hematoma. At three-month follow-up, tumor biomarkers remained stable, and key biochemical parameters had returned to pre-biopsy baseline levels, indicating favorable disease control and recovery.

Source: Frontiers in Oncology

DOI: 10.3389/fonc.2026.1776163

Authors: Zhiyong Liu, Jianhe Wu, Yuanwei Li, Qiang Lu, Yongjun Yang

Institutions: Hunan Normal University, Hunan Provincial People's Hospital

Language: English

Topic: Case Reports on Hematomas

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801