Korean J Urogenit Tract Infect Inflamm.  2013 Oct;8(2):129-132. 10.14777/kjutii.2013.8.2.129.

Septic Pulmonary Embolism Secondary to Prostate Abscess

Affiliations
  • 1Department of Urology, Bundang Jesaeng General Hospital, Seongnam, Korea. sjhwany@hanmail.net

Abstract

A 30-year-old male admitted to our hospital with sudden onset shortness of breath, general weakness, dysuria, frequency, oligouria and fever. Abdominal and chest computed tomography revealed septic pulmonary embolism, multiple thrombi along right common iliac, internal iliac and femoral vein and large size prostatic abscess (right lobe>5 cm, left lobe>3.5 cm). We, therefore, diagnosed septic pulmonary embolism secondary to prostate abscess. Abscess was drained by transurethral resection of prostate with appropriate antibiotics therapy. There were no postoperative complications with complete abscess resolution. Septic pulmonary embolism originated from urinary tract infection is rare. So we present a case report and the review of relevant literatures.

Keyword

Prostate; Abscess; Embolism

MeSH Terms

Abscess*
Adult
Anti-Bacterial Agents
Dyspnea
Dysuria
Embolism
Femoral Vein
Fever
Humans
Male
Postoperative Complications
Prostate*
Pulmonary Embolism*
Thorax
Transurethral Resection of Prostate
Urinary Tract Infections
Anti-Bacterial Agents

Figure

  • Fig. 1. Preoperative chest and abdominopelvic computed tomography. (A) Multiple septic pulmonary emboli. (B) Multiple thrombi along right common iliac, internal iliac and femoral vein showing total obstruction of right internal iliac vein. (C) Large size prostate abscess (right lobe >5 cm, left lobe >3.5 cm).

  • Fig. 2. Follow up abdominopelvic computed tomography on postoperative 24th day. Improved state of previous prostate swelling and decreased size of prostate cavity.

  • Fig. 3. Follow up cystoscopy on postoperative 36th day. A large cavitation was seen at the right prostate lobe after prostatic abscess drainage.

  • Fig. 4. Follow up abdominopelvic computed tomography (1 year after operation). Totally improved prostate cavitation.


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