EURORAD ESR

Case 3342

Transrectal ultrasound-guided aspiration of a prostatic abscess

Author(s)
Livanos A. Vougiouklis N. Chartabilas E. Malandri M.
 
Patient
male, 80 year(s)
 
 
  • Figure 1
    An abdominal US

    A transabdominal ultrasound of the prostate gland, with the longitudinal and transverse sections, revealing the enlargement of the gland, with a few highly reflective internal echoes. Its volume is estimated to be 78...

     
     
     
  • Figure 2
    A CT of the prostate gland

    An axial CT at the upper level of the prostate gland after IV contrast administration confirming the enlargement of the prostate protruding into the bladder and showing an enhancing ring.

     
     
     
  • Figure 3
    Post-contrast CT at the center of the prostate gland

    An axial CT scan taken at the center of the prostate gland showing that the gland is enlarged and most of its parenchyma is replaced by low density lobulated material. The gland abuts the obturator internus muscle...

     
    Area of Interest: unknown; Imaging Technique: ww,ww;
     
     
  • Figure 4

    a. A TRUS of the prostate gland in transverse section, showing that most of the gland has been replaced by an ill-defined mass with cystic areas filled with an intermediate echogenic material. These contents were seen...

     
    Area of Interest: unknown;
     
     
A transabdominal ultrasound of the prostate gland, with the longitudinal and transverse sections, revealing the enlargement of the gland, with a few highly reflective internal echoes. Its volume is estimated to be 78 ml.
 
An axial CT at the upper level of the prostate gland after IV contrast administration confirming the enlargement of the prostate protruding into the bladder and showing an enhancing ring.
 
An axial CT scan taken at the center of the prostate gland showing that the gland is enlarged and most of its parenchyma is replaced by low density lobulated material. The gland abuts the obturator internus muscle (i). The right levator muscle (>) is thickened.
 
a. A TRUS of the prostate gland in transverse section, showing that most of the gland has been replaced by an ill-defined mass with cystic areas filled with an intermediate echogenic material. These contents were seen to swirl during manipulation of the probe. The image shows the biopsy needle (arrows) entering the periphery where there is still some parenchyma. IN: intestine. b. TRUS in longitudinal section. In spite of the use of increased gain settings during the power color-Doppler examination no flow was depicted in the central area. A vessel (arrow) is displayed in the compressed peripheral zone between the abscess and the rectum.
 
 
 
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