Large prostatic abscess

Case contributed by Dr Michael P Hartung

Presentation

Rectal pain.

Patient Data

Age: 75
Gender: Male
CT

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.

Case Discussion

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.

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Case information

rID: 59368
Published: 6th Apr 2018
Last edited: 16th Jul 2018
System: Urogenital
Inclusion in quiz mode: Included

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