PMC6136515_01
Abdominal ultrasound showing hypoechoic collection inside prostatic parenchyma.
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Postmicturition residual urine was 143 ml (Figure 1).
Tomodensitometric views showing prostatic abscess with bilateral ureterohydronephrosis.
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Bilateral ureterohydronephrosis with normal renal parenchyma was also noted (Figure 2).
Endoscopic view showing important amounts of thick whitish pus.
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Resection permitted an unroofing of the abscess and a drainage of abundant amounts of thick whitish pus and allowed collapse of pus pockets under control of view (Figure 3).
Microscopic view of resected specimen. (a) Prostatic parenchyma seat of an abscessed collection bordered by a polymorph inflammatory infiltrate. (b) Xanthomatous infiltrate rich in foamy histiocytes without presence of gigantocellular or epithelioid granuloma.
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Histologic examination of resected chips concluded on suppurated xanthogranulomatous prostatitis (Figure 4).