Prostate Abscess Associated With Severe Constipation: A Rare Case

Severe constipation can cause ischemic bowel disease and other complications in older adults. However, its association with the formation of prostate abscesses has rarely been reported. An 80-year-old male recently presented to our center with syncope, dehydration, and constipation. Contrast-enhanced computed tomography (CT) revealed fecal impaction and a hypodense lesion in the prostate. Despite no initial elevation in inflammatory markers, the patient later developed recurrent hypotension. Follow-up CT confirmed a prostate abscess and rectal reperfusion. The absence of urinary white blood cells suggested a non-ascending urinary tract infection. Antibiotic therapy with ceftriaxone resulted in recovery. Severe constipation may contribute to prostate abscess formation via rectal ischemia and bacterial translocation. Early recognition and management of constipation are crucial to prevent severe complications in older patients. Further studies are warranted to clarify the specific pathway of this atypical infection.