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Abstract
Transrectal ultrasonography guided prostate needle biopsy (PNB) is a useful tool for diagnosis of prostate cancer when the patient has positive findings, such as elevated prostate specific antigen, or a nodule on a digital rectal exam. Because PNB can be performed through the rectum, infection and hemorrhage are the most frequent complications after PNB. Many physicians have reported on their studies, including antibiotic therapy, for decreasing these complications, and some of these treatment modalities have been applied to patients who have undergone PNB. We report on a case of epidural abscess on the lumbosacral area after PNB.
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Fig. 1.
(A) T2-weighted L-spine magnetic resonance image (MRI) showing several abscess formations with well enhancing capsule on anterior epidural space of L2-5, sacrum level and posterior epidural space of sactum level. Epidural abscess, L2-5 and sacrum level. Spondylitis, L4-5 (arrow). (B) Compared to (A), MRI showing slightly the increased extent of epidural abscess and spondylitis. (C) MRI showing the decreased extent of epidural abscess and the improvement of spinal canal narrowing. L4-5 laminectomy state.
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