Prostatic abscess

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Clinically - Urinary tract infection.

Patient Data

Age: 60 years
Gender: Male

Transrectal

ultrasound

Prostate size - 48 x 45 x 32 mm - Volume - 37 cc.

Loss of zonal anatomy is noted. Multiple well-defined hypoechoic areas are noted in both sides of prostate.

The right side of the gland is replaced by 21 x 19 x 19 mm sized hypoechoic lesion with few cystic areas. About 3 lesions of 8 - 10 mm are noted in left peripheral aspect of gland.

Few tiny calcification foci are noted in right paramedian region.

Perilesional hypervascularity is seen.

Foley's bulb is noted in collapsed urinary bladder. Catheter artifact is noted in prostatic urethra.

Seminal vesicles and visualized vasa deferentia are normal. No periprostatic collection is seen.

Case Discussion

Multifocal prostatic abscess causing enlarged prostate.

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