Abstract
Xanthogranulomatous prostatitis is a rare benign inflammatory process of the prostate. Only few cases have been reported in the English literature. Xanthogranulomatous prostatitis is usually an incidental finding after needle biopsy or transurethral resection of the prostate in patients suffering from low urinary tract symptoms. We report the case of a 59-years-old patient diagnosed with prostatic abscess managed by transurethral resection of the prostate. Histopathological examination of resected prostatic tissue revealed abscessed xanthogranulomatous prostatitis with no evidence of malignancy. Xanthogranulomatous prostatitis presenting as a prostatic abscess is a rare finding. To the best of our knowledge our case represents the fourth case of xanthogranulomatous prostatitis presenting as prostatic abscess reported in the English literature so far.
Highlights
Granulomatous prostatitis is an unusual inflammatory process of the prostate gland characterized by the presence of granuloma as the main histological feature
We report an additional case of xanthogranulomatous prostatitis revealed by prostatic abscess
We did not perform a prostate-specific antigen (PSA) test since patient provided us with a former test done one month earlier to his admission which was at 0,54 ng/ml
Summary
Granulomatous prostatitis is an unusual inflammatory process of the prostate gland characterized by the presence of granuloma as the main histological feature. It was first described by Tanner and McDonald in 1943 and [1, 2]. The nonspecific type of granulomatous inflammation is the most common [2, 3]. This classification being controversial remains widely used. Xanthogranulomatous prostatitis is a rare form of nonspecific granulomatous prostatitis distinguished by presence of xanthoma cells. We report an additional case of xanthogranulomatous prostatitis revealed by prostatic abscess
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