Spontaneous rupture into the peritoneal cavity: Unusual presentation of prostatic abscess

Naouar, Sahbi; Ati, Nidhal; Braiek, Salem; Kamel, Rafik El

doi:10.1016/j.ijscr.2017.02.006

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…Mismanagement or a conservative approach may progress to form an intraperitoneal pelvic abscess 22. The urine sent from the TUR resection of the abscess did not yield any microorganism growth, likely due to the concurrent usage of intravenous antibiotics.…”

Section: Discussionmentioning

confidence: 98%

Prostatic abscess: a rare complication of staghorn calculi

Quraishi¹,

Phan

Asaad

et al. 2018

BMJ Case Reports

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A staghorn calculus is a calculus accommodating the majority of a renal calyx extending into the renal pelvis. A conservative approach to its treatment may lead to high morbidity and mortality rates. Such morbidity usually manifests with renal failure, obstructed upper urinary tractand/or life-threatening sepsis. Prostatic abscesses have never been associated with staghorn calculi in the literature. We report a case of a 70-year-old man who presented with sepsis, which was found to originate from a complex prostatic abscess. The patient had no history of urinary tract infections or risk factors. The authors believe that the incidentally identified staghorn calculi promoted the growth of which led to the development of the prostatic abscess. The patient underwent a transurethral resection and drainage of the abscess following a failed course of antibiotic therapy. This case also highlights the paucity of guidelines available in treating prostatic abscesses.

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Section: Discussionmentioning

confidence: 98%

Prostatic abscess: a rare complication of staghorn calculi

Quraishi¹,

Phan

Asaad

et al. 2018

BMJ Case Reports

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Association of bacterial isolates and antimicrobial susceptibility between prostatic fluid and urine samples in canine prostatitis with concurrent cystitis

et al. 2021

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血液透析導入後から持続性膿尿を認め透析離脱後に前立腺膿瘍の自然穿破を合併した抗糸球体基底膜腎炎の1例

Ono,

Hayama,

Kaseda

et al. 2023

Nihon Toseki Igakkai Zasshi

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Keywords： hemodialysis, steroid therapy, prostatic abscess, drainage, pyuria 〈Abstract〉 A man in his 70s with anti glomerular basement membrane disease required hemodialysis and received corticosteroid therapy. Hemodialysis was discontinued after 8 weeks. About 9 weeks after discontinuation, the patient experienced disturbance of consciousness which improved after a few days. However, he subsequently showed fever, urinary retention, re elevation of C reactive protein, and persistent pyuria. Computed tomography indicated rupture of a prostatic abscess into the retroperitoneal space. Escherichia coli was identified in urine and blood culture samples. The prostatic abscess, including pyuria, was treated with transrectal ultrasound guided transperineal percutaneous drainage and antibiotic therapy. Risk factors for prostatic abscess in our patient included an immunosuppressive state, hemodialysis, and oliguria. Although he began to show pyuria with

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Spontaneous rupture into the peritoneal cavity: Unusual presentation of prostatic abscess

Abstract: HighlightsProstatic abscess is an uncommon but potentially lethal disease.Spontaneous rupture into peritoneal cavity is extremely unusual.We highlight the importance of close monitoring of patients, with diabetes or immunosuppression, treated for acute prostatitis.

Cited by 3 publications

References 7 publications

Prostatic abscess: a rare complication of staghorn calculi

Prostatic abscess: a rare complication of staghorn calculi

Association of bacterial isolates and antimicrobial susceptibility between prostatic fluid and urine samples in canine prostatitis with concurrent cystitis

血液透析導入後から持続性膿尿を認め透析離脱後に前立腺膿瘍の自然穿破を合併した抗糸球体基底膜腎炎の1例

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