2) In patients unresponsive to conservative management, drainage of the prostatic abscess (transrectal ultrasound guided aspiration, digital guided aspiration, transurethral resection of prostate, transurethral incision of the abscess cavity
or open drainage) may be needed.
The abscess cavity
was reached by tunneling subcutaneously from a postauricular incision, thus avoiding a facial scar; 10 ml of thick, gelatinous material, most likely representing necrotic parotid gland, was removed and a Penrose drain left in place.
The abscess cavity
contains an eccentric enhancing nodule.
With manipulation, a small amount of pus drained from the chronic abscess cavity
The procedure allows an abscess cavity
to safely drain, while the anti-TNF drug reduces inflammation and promotes fistula healing.
CT is particularly useful for detecting gas present within the abscess cavity
Fistulous connections from the caecum to the abscess cavity
may be demonstrated in a significant proportion of patients; however, in the vast majority, this connection closes within 2 weeks.
4,5) Jain et al (15) claimed that direct infusion of antituberculous agents were more effective than systemic application when used in combination with simple needle aspiration or short-term catheter drainage of TLA, because the thick fibrous tissue around the abscess cavity
and the large size of the lesion may prevent the antibiotics from reaching the target.
pneumoniae and evidence of an intrahepatic abscess cavity
by ultrasonography or computed tomography.
A similar reaction was present in the left ovary surrounding an abscess cavity
containing purulent exudate and surrounded by dense fibrosis and chronic inflammation.
19] The management options include transrectal ultra-sonography-guided aspiration, transurethral incision over the abscess, transurethral deroofing of the abscess cavity
, or formal transurethral resection of prostate.
Culture of the abscess cavity
pus grew Candida albicans which was treated with appropriate antimicrobials.