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Absceso prostático asociado a estreñimiento grave: un caso raro

Keisuke Suzuki1, Shigetoshi Nishihara2, Mako Sakakibara1

  • 1Department of Emergency, Critical Care and Disaster Medicine, Showa Medical University School of Medicine, Tokyo, JPN.

Cureus
|April 11, 2025
PubMed

El estreñimiento grave puede causar enfermedad isquémica intestinal y otras complicaciones en adultos mayores. Sin embargo, su asociación con la formación de abscesos prostáticos ha sido reportada raramente. Un varón de 80 años acudió recientemente a nuestro centro con síncope, deshidratación y estreñimiento. La tomografía computarizada (TC) con contraste reveló impactación fecal y una lesión hipodensa en la próstata. A pesar de que inicialmente no hubo elevación de los marcadores inflamatorios, el paciente desarrolló posteriormente hipotensión recurrente. La TC de seguimiento confirmó un absceso prostático y reperfusión rectal. La ausencia de leucocitos en la orina sugirió que no se trataba de una infección ascendente del tracto urinario. La terapia antibiótica con ceftriaxona dio como resultado la recuperación. El estreñimiento grave puede contribuir a la formación de abscesos prostáticos a través de la isquemia rectal y la translocación bacteriana. El reconocimiento y el manejo precoces del estreñimiento son cruciales para prevenir complicaciones graves en pacientes mayores. Se requieren más estudios para aclarar la vía específica de esta infección atípica.

Palabras clave:
estreñimientocomplicaciones infecciosasreperfusión isquémicapaciente mayorabsceso prostático

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