Large prostatic abscess
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The prostate is replaced by a large collection of peripherally enhancing, low-attenuation fluid which extends into the left ischioanal fossa. Thickening of the bladder base, likely due to reactive inflammation.
Prostate abscesses are relatively uncommon due to antibiotic therapy reducing the complications of prostatitis. Prostate abscesses mainly effect diabetic and immunocompromised patients.
This is a very large prostate abscess which has decompressed into the left ischioanal fossa. This case was surgically managed with incision and drainage in the operating room. Cultures grew staph epidermis.