Document Detail


Rectoprostatic fistula: unusual presentation of a prostatic abscess.
MedLine Citation:
PMID:  21289387     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To present the case and iconography of a rectoprostatic fistula as a form of presentation of a prostatic abscess and to review the literature on the diagnosis and treatment of this pathology. METHODS: 69-year-old male with multiple pathologic conditions who presents an orifice in the prostatic fossa on digital rectal examination in the scenario of a urinary tract infection with fever. CT scan and colonoscopy showed a prostatic abscess fistulizing to rectum. RESULTS: Due to spontaneous drainage of the abscess, conservative treatment with intravenous fluid therapy and antibiotics was chosen. CONSCLUSIONS: Prostatic abscess is often difficult to diagnose because of its low prevalence and unspecific symptomatology. Since the introduction of antibiotics, cases in which abscess fistulises or opens spontaneously to neighboring structures like urethra or rectum have decreased.
Authors:
Xavier Ruíz Plazas; Diego Alonso Rodríguez; Lorena Fernández Barranco; Daniel Muñoz Vélez
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Archivos espanoles de urologia     Volume:  64     ISSN:  1576-8260     ISO Abbreviation:  -     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-2-3     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0064757     Medline TA:  Arch Esp Urol     Country:  -    
Other Details:
Languages:  ENG; SPA     Pagination:  59-61     Citation Subset:  -    
Affiliation:
Urology Department. Hospital Universitario Son Dureta. Palma de Mallorca. Spain.
Vernacular Title:
Fístula recto-prostática. Una presentación inusual de un absceso prostático.
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