Darias MJL, Rodríguez CTL, Barrallobre HYA, Bover LL

Language: Spanish
References: 9
Page: 117-123
PDF size: 756.56 Kb.

ABSTRACT

Introduction: Prostatic abscess is a serious and infrequent infectious process, whose diagnosis and timely treatment favor its cure. Objective: To show the clinical, imaging and therapeutic sequence of a new case with prostatic abscess. Case presentation: A 33-year-old patient with a history of total narrowing of the bulbar urethra, sequelae of gonococcal urethritis, which required a cystostomy. The patient attended to emergencies service due to sharp perineal and anal pain, fever of 39 to 40 0C, chills, urethral pruritus and deteriorated general state. At the physical examination, the cystostomy was permeable with clear urine, pain on palpation in the hypogastrium and on rectal examination; grade I enlarged prostate, painful, bulging the rectum in the right lobe, of soft consistency and normal temperature. The transrectal ultrasound reported a complex image in the right transitional zone, with a liquid level of high echogenicity of about 6 cm3 in volume. Conclusions: Prostatic abscess should be suspected in patients with low urinary obstruction and urinary diversions that present fever and hypogastric, anal and perineal pain. The transrectal ultrasound allows to obtain the diagnosis of certainty and its effective drainage which, associated with the specific antibiotic therapy, favors the recovery of the patient.

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