Prostatic infarction

Last revised by Dr Jeremy Jones on 20 Sep 2021

Prostatic infarction refers to necrosis of the prostate gland tissue from a lack of blood supply.

Pathology

Histology

Histology slices on biopsy specimens may show reactive atypia 3.

Causes
  • prostatic artery embolization
  • presumed pelvic ischemia after
    • cross-clamping of the aorta for coronary or aortic surgery 4
    • hypotensive myocardial infarction
    • septic shock
Markers

PSA level may be elevated 2.

Radiographic features

MRI

Reported signal characteristics in the setting of post prostatic artery embolization include 1:

  • T1: hyperintense
  • T2: hypointense

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