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Title: 経会陰的ドレナージが有効であった広範な前立腺膿瘍の1例
Other Titles: A Case of Massive Prostate Abscess Treated by Transperineal Drainage
Authors: 横山, 高明  KAKEN_name
北村, 陽典  KAKEN_name
畑中, 弥奈  KAKEN_name
新井, 悠一  KAKEN_name
辻田, 裕二郎  KAKEN_name
田崎, 新資  KAKEN_name
黒田, 健司  KAKEN_name
朝隈, 純一  KAKEN_name
堀口, 明男  KAKEN_name
伊藤, 敬一  KAKEN_name
Author's alias: YOKOYAMA, Takaaki
ARAI, Yuichi
TUJITA, Yujiro
TASAKI, Shinsuke
ASAKUMA, Junichi
ITO, Keiichi
Keywords: Prostate abscess
Transperineal drainage
Issue Date: 30-Apr-2022
Publisher: 泌尿器科紀要刊行会
Journal title: 泌尿器科紀要
Volume: 68
Issue: 4
Start page: 123
End page: 127
Abstract: The patient was an 81-year-old man who visited a clinic for fever and lower abdominal pain. He was subsequently diagnosed with prostatitis based on computed tomography (CT) findings that showed swelling of the prostate. Despite treatment with antibacterial therapy, his symptoms did not improve significantly. Since the patient also had myelodysplastic syndrome, he was transferred to our hospital and subsequently diagnosed with prostate abscess based on findings on magnetic resonance imaging (MRI). The abscess had spread widely from the dorsal side of the trigone of the bladder to anterior wall of the rectum. Transperineal drainage was performed to preserve the urethral mucosa of the prostatic urethra. Considering the shape of the abscess cavity, one pigtail catheter was placed in the prostate and another was placed transperineally on the dorsal side of the trigone of the bladder. Cystostomy was performed at the same time. Culture of the abscess revealed the presence of Staphylococcus aureus. As there was little exudate from the abscess 9 days after drainage, the pigtail catheter on the dorsal side of the trigone of the bladder was removed following an injection of minocycline into the abscess. CT showed shrinkage of the abscess 4 days later, and the remaining intraprostatic pigtail catheter was removed after an injection of minocycline. The cystostomy pigtail catheter was subsequently removed since the patient was able to urinate smoothly after clamping. MRI confirmed the disappearance of the abscess cavity 2 months later.
Rights: 許諾条件により本文は2023/05/01に公開
DOI: 10.14989/ActaUrolJap_68_4_123
PubMed ID: 35613901
Appears in Collections:Vol.68 No.4

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