Nedjim AS1,2, Adam AF1,3, SEID Y2, Hagguir H1, Kouldjim A1,2, Ndormadjita AS1,3, Dounia S1, Mahamat MA3,4, Vadandi V2, Rimtebaye K3,4
1- Centre Hospitalier Universitaire La Renaissance, N’djamena.
2- Faculté de Médecine, Université Adam Barka d’Abéché.
3- Faculté de Médecine, Université de N’djaména.
4- Centre Hospitalier Universitaire Référence Nationale, N’Djamena, Tchad.
Correspondance : Dr A. Saleh NEDJIM
BP 2029, N’Djaména, Tchad / E-mail: [email protected].
SUMMARY
Introduction: prostatic abscess is a true urological emergency, now rarely encountered in contemporary practice, and often presents with atypical clinical features. In the event of delayed diagnosis or late management, it may rapidly progress to sepsis with potentially fatal consequences. A prostatic abscess complicated by a fistula and an ischiorectal abscess is considered a rare, if not exceptional, occurrence.
Only a few sporadic cases have been reported in the literature. In this article, we present one case of this pathology.
Case report: it was about a 63-year-old male with a prostatic abscess complicated by an ischiorectal fistula, initially revealed by febrile pyuria. In addition to antibiotic therapy, our approach consisted of ultrasound-guided percutaneous drainage of the abscess using a nephrostomy catheter, along with the placement of a suprapubic cystostomy. The patient had a favorable clinical outcome.
Conclusion: this case highlights the effectiveness of a multidisciplinary approach combining antibiotic
therapy with ultrasound-guided percutaneous drainage, in the management of prostatic abscesses, resulting in a favorable clinical outcome. It contributes to the understanding of atypical presentations and emphasizes the need for heightened clinical vigilance to prevent severe complications.
Key words: urinary tract, infection, prostatitis, prostatic abscess, fistulization.