Online Journal
電子ジャーナル
IF値: 1.8(2022年)→1.9(2023年)

英文誌(2004-)

Journal of Medical Ultrasonics

一度このページでloginされますと,Springerサイト
にて英文誌のFull textを閲覧することができます.

cover

2000 - Vol.27

Vol.27 No.06

Case Report(症例報告)

(0899 - 0902)

尿道直腸痩を合併した前立腺膿瘍の1例: 経直腸的超音波断層法による観察

Transrectal Ultrasound Findings of a Prostatic Abscess Complicated with Rectourethral Fistula

成吉 昌一1, 西村 武久1, 辻 祐治2

Shouichi NARIYOSHI1, Takehisa NISHIMURA1, Yuji TSUJI2

1西村泌尿器科病院, 2福岡大学医学部泌尿器科学教室 

1Nishimura Hospital, 2Department of Urology, Fukuoka University School of Medicine

キーワード : Abscess , Inflammation, Prostate, Transrectal ultrasonography

An 81-year-old man with diabetes mellitus had urinary retention and urinary tract infection. Digital rectal examination showed the prostate to be enlarged and tender, while transrectal ultrasonography (TRUS) showed a markedly enlarged prostate with a focal hypoechoic area consistent with prostatic abscess. Despite oral antibiotic therapy, TRUS findings showed progression of the disease. The abscess, however, suddenly disappeared and the size of the prostate decreased. These US findings suggested disruption of the abscess to the rectum. Subsequent transurethral resection of the prostate resulted in a rectourethral fistula. Because prostatic abscess is rare, its proper diagnosis and optimal management are sometimes difficult. Prostatic abscess requires case-by-case treatment strategies depending on the progression of the infection. Accordingly, TRUS of the prostate should be repeated whenever necessary to obtain a precise understanding of the status of the disease.