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症例は59歳男性。尿閉を主訴に当科を紹介受診。精査加療目的のため入院した。入院時の超音波所見にて前立腺内部は低エコーの中に一部高エコーが混在しており,辺縁の壁は不整で内部に隔壁を認めた。レボビスト®による造影を行うと隔壁および周囲の壁のみ造影され内部は造影されなかった。以上より前立腺膿瘍と診断し,治療として経尿道的ドレナージ術を施行した。現在術後6か月目であるが再発を認めない。
59-year-old man visited our hospital with a complaint of urinary retention. Conventional US revealed mixed hypoechoic and hyperechoic lesions within his prostate mimicking prostate tumor. By the enhanced US with Levovist®, irregular intraprostatic walls and a cystic mass were clearly demonstrated. With this finding, a diagnosis of prostatic abscess was obtained. The patient was dischargedin good condition after transurethral drainage following antibiotic therapy. No recurrence of abscess was observed within a follow-up period of six months.
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