Prostatic Abscess Presenting as Constipation

Authors

  • Thomas Szewczyk  Saint Louis University School of Medicine 
  • Farzana Hoque Associate Professor of Medicine Department of Internal Medicine, Saint Louis University School of Medicine, St. Louis, MO 63104-1016 USA  https://orcid.org/0000-0002-9281-8138

Keywords:

Prostatic Abscess, Klebsiella pneumoniae, Diabetes Mellitus, Transurethral Unroofing, Constipation, Urologic infections

Abstract

Introduction: Prostatic abscesses are uncommon urologic infections, often underdiagnosed due to their nonspecific symptoms and clinical overlap with acute bacterial prostatitis.

Case: A 53-year-old diabetic man presented with constipation, abdominal pain, and urinary symptoms, and imaging revealed a large prostatic abscess compressing the rectum. Cultures grew Klebsiella pneumoniae, and treatment included intravenous antibiotics followed by transurethral unroofing of the abscess.

Discussion: This case highlights the atypical presentation of prostatic abscess and underscores the importance of prompt imaging and intervention. 

J MEDICINE 2026; 27(2): 145-146

 

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Published

2026-09-06

Issue

Section

Case Reports

How to Cite

Szewczyk, T. ., & Hoque, F. . (2026). Prostatic Abscess Presenting as Constipation. Journal of Medicine, 27(2), 145-146. https://doi.org/10.3329/jom.v27i2.92095