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Prostatic Abscess on Xanthogranulomatous Prostatitis: Uncommon Complication of an Uncommon Disease

Youness Jabbour1,2, Hamza Lamchahab1,2, Sumba Harrison1,2

  • 1Urology B Department, Ibn Sina Teaching Hospital, Rabat, Morocco.

Case Reports in Urology
|September 20, 2018
PubMed

Insights

Xanthogranulomatous prostatitis, a rare benign prostate inflammation, can present as a prostatic abscess. This case highlights a rare instance of this condition, emphasizing its infrequent presentation as an abscess in medical literature.

Area of Science:

  • Urology
  • Pathology

Background:

  • Xanthogranulomatous prostatitis is a rare benign inflammatory condition of the prostate gland.
  • It is infrequently documented in English medical literature.

Observation:

  • A 59-year-old male patient presented with symptoms of a prostatic abscess.
  • The patient underwent transurethral resection of the prostate for management.
  • Histopathological examination of the resected tissue revealed xanthogranulomatous prostatitis with abscess formation.

Findings:

  • The diagnosis was abscessed xanthogranulomatous prostatitis.
  • No evidence of malignancy was detected in the prostatic tissue.
  • This represents a rare presentation of xanthogranulomatous prostatitis as a prostatic abscess, with only a few such cases reported globally.

Implications:

  • This case underscores the importance of considering rare inflammatory conditions in the differential diagnosis of prostatic abscesses.
  • Accurate histopathological examination is crucial for correct diagnosis and to rule out malignancy.
  • Further case reports may help elucidate the clinical behavior and management of xanthogranulomatous prostatitis presenting as an abscess.

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