Naouar Sahbi, Ati Nidhal, Braiek Salem, Kamel Rafik El
Urology Department, Les Aghlabides Surgical Division, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.
Urology Department, Les Aghlabides Surgical Division, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.
Int J Surg Case Rep. 2017;32:73-75. doi: 10.1016/j.ijscr.2017.02.006. Epub 2017 Feb 14.
Prostatic abscess is a rare but relatively serious infectious disease; its association with spontaneous rupture is extremely unusual.
We present a case of peritonitis secondary to a rupture of prostatic abscess in a 87-year-old man. The diagnosis was made on computed tomography. Emergency laparotomy, transrectal ultrasonography guided aspiration of the residual abscess and antibiotics permitted a full recovery.
Delay in diagnosis of prostatic abscess can have grave sequelae, including spontaneous rupture into the urethra, perineum, bladder or rectum and the development of septic shock. Only one case of spontaneous rupture into the peritoneal cavity has been reported in the literature.
This case highlights the importance of early diagnosis of prostatic abscess and close monitoring of patients, with diabetes or immunosuppression, treated for acute prostatitis.
前列腺脓肿是一种罕见但相对严重的传染病；其与自发性破裂的关联极为罕见。
我们报告一例87岁男性因前列腺脓肿破裂继发腹膜炎的病例。通过计算机断层扫描做出诊断。急诊剖腹手术、经直肠超声引导下抽吸残留脓肿以及使用抗生素使患者完全康复。
前列腺脓肿诊断延迟可导致严重后果，包括自发性破裂进入尿道、会阴、膀胱或直肠以及发生感染性休克。文献中仅报道过一例自发性破裂进入腹腔的病例。
本病例强调了早期诊断前列腺脓肿以及对患有糖尿病或免疫抑制且正在接受急性前列腺炎治疗的患者进行密切监测的重要性。
