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Transverse image of the prostate gland with endorectal ultrasound probe and color Doppler. This demonstrates multiple hypoechoic fluid collections (arrows) consistent with abscesses within the periphery of the prostate gland.
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A digital rectal examination revealed an enlarged and tender prostate which was followed up by an endorectal ultrasound that confirmed prostatomegaly, increased vascularity and multiple prostatic abscesses, the largest measuring 3.4 cm of greatest diameter (Fig. 1).
A: Hematoxylin & Eosin 100x, abundant foamy histiocytes. B: Hematoxylin & Eosin 400x, high power view of foamy histiocytes.
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The surgical pathology specimen revealed sheets of foamy histiocytes, abundant necrotic debris and rare hemosiderin deposition (Fig. 2A-B).