{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,29]],"date-time":"2023-09-29T08:17:56Z","timestamp":1695975476330},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T00:00:00Z","timestamp":1584403200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T00:00:00Z","timestamp":1584403200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Prostate cancer is a common cancer among men in developed countries. Prostate magnetic resonance imaging (MRI) has been widely employed for early diagnosis of prostate cancer and recommending a treatment plan. The incidence of rectal perforation during endorectal prostate MRI is rare and has never been reported before. Herein, we present a case of rectal perforation after a prostate MRI examination that was subjected to emergency surgical intervention because of the acute presentation of generalized peritonitis. Patients with systemic comorbidities are reportedly at greater risks of encountering colonoscopic perforation. Endorectal prostate MRI is a safe diagnostic modality, but inadequate lubrication of the endorectal coil or over-insufflation of the balloon during the procedure may also lead to serious complications such as hollow organ perforation. Early surgery will be necessary should peritoneal symptoms persist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>In 2015, a 56-year-old man came to our ER due to acute abdominal pain after he finished his MRI exam. The exam indicated diffuse tenderness over his abdomen and at the ER, his abdominal CT (computerized tomography) was checked. The images revealed extraluminal air in the perirectal fat and the pneumoperitoneum. In response, exploratory laparotomy, simple closure of rectal perforation, and loop-S colostomy were performed and the patient was discharged 1 month after operation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Prostate MRI is a secure procedure with few complications. Clinicians must keep in mind the possibility of perforation when using ultrasound probe. Hollow organ perforation can result in serious morbidity or death. As a result, patients need to be informed of the complications of prostate MRI. When performing the procedure, clinicians must be cautioned about the potential problems for patients with high-anesthetic risk.<\/jats:p><\/jats:sec>","DOI":"10.1186\/s12894-020-00591-9","type":"journal-article","created":{"date-parts":[[2020,3,17]],"date-time":"2020-03-17T09:03:41Z","timestamp":1584435821000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Rectal perforation following endorectal prostate MRI: an unexpected complication"],"prefix":"10.1186","volume":"20","author":[{"given":"I","family":"Hsu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chia-Chen","family":"Lee","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ming-Jenn","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,3,17]]},"reference":[{"key":"591_CR1","doi-asserted-by":"publisher","first-page":"960","DOI":"10.1016\/j.gie.2008.11.011","volume":"69","author":"MR Quallick","year":"2009","unstructured":"Quallick MR, Brown WR. Rectal perforation during colonoscopic retroflexion: a large, prospective experience in an academic center. Gastrointest Endosc. 2009;69:960\u20133.","journal-title":"Gastrointest Endosc"},{"issue":"4","key":"591_CR2","doi-asserted-by":"publisher","first-page":"425","DOI":"10.3748\/wjg.v16.i4.425","volume":"16","author":"V Lohsiriwat","year":"2010","unstructured":"Lohsiriwat V. Colonoscopic perforation: incidence, risk factors, management and outcome. World J Gastroenterol. 2010;16(4):425\u201330.","journal-title":"World J Gastroenterol"},{"issue":"11","key":"591_CR3","doi-asserted-by":"publisher","first-page":"941","DOI":"10.1055\/s-0029-1215179","volume":"41","author":"V Panteris","year":"2009","unstructured":"Panteris V, Haringsma J, Kuipers E. Colonoscopy perforation rate, mechanisms and outcome: from diagnostic to therapeutic colonoscopy. Endoscopy. 2009;41(11):941.","journal-title":"Endoscopy."},{"key":"591_CR4","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1007\/s00464-007-9251-7","volume":"21","author":"TH L\u00fcning","year":"2007","unstructured":"L\u00fcning TH, Keemers-Gels ME, Barendregt WB, Tan ACITL, Rosman C. Colonoscopic perforations: a review of 30,366 patients. Surg Endosc. 2007;21:994\u20137.","journal-title":"Surg Endosc"},{"key":"591_CR5","first-page":"87","volume":"28","author":"G Gallo","year":"2016","unstructured":"Gallo G, Clerico G, Tutino R, De Luca E, Luc AR, Trompetto M. Rectal perforation during defecography: extraluminal barium impaction removed by TEM (Transanal endoscopic microsurgery). Ann Ital Chir. 2016;28:87.","journal-title":"Ann Ital Chir"},{"key":"591_CR6","first-page":"71","volume":"34","author":"KYA Haruta","year":"2011","unstructured":"Haruta KYA, Shinoda K, Ito M, Kasugai K, Suzumura H. Safe length for enema catheter insertion: estimation based on lower gastrointestinal series imaging findings in adults (in Japanese). Kango Kenkyu. 2011;34:71\u20135.","journal-title":"Kango Kenkyu"},{"issue":"10","key":"591_CR7","doi-asserted-by":"crossref","first-page":"922","DOI":"10.1177\/000313480407001021","volume":"70","author":"TS Ker","year":"2004","unstructured":"Ker TS, Wasserberg N, Beart RW Jr. Colonoscopic perforation and bleeding of the colon can be treated safely without surgery. Am Surg. 2004;70(10):922.","journal-title":"Am Surg"}],"container-title":["BMC Urology"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-020-00591-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1186\/s12894-020-00591-9\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1186\/s12894-020-00591-9.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,28]],"date-time":"2023-09-28T18:42:32Z","timestamp":1695926552000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcurol.biomedcentral.com\/articles\/10.1186\/s12894-020-00591-9"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,3,17]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["591"],"URL":"https:\/\/doi.org\/10.1186\/s12894-020-00591-9","relation":{},"ISSN":["1471-2490"],"issn-type":[{"value":"1471-2490","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,3,17]]},"assertion":[{"value":"27 June 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"21 February 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"17 March 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This is a retrospective case report and no ethical approval was needed.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"28"}}