title: Spontaneous rupture into the peritoneal cavity: Unusual presentation of prostatic abscess.
abstract: BACKGROUND
  Prostatic abscess is a rare but relatively serious infectious disease; its association with spontaneous rupture is extremely unusual.
  
  
  METHODS
  We present a case of peritonitis secondary to a rupture of prostatic abscess in a 87-year-old man. The diagnosis was made on computed tomography. Emergency laparotomy, transrectal ultrasonography guided aspiration of the residual abscess and antibiotics permitted a full recovery.
  
  
  CONCLUSIONS
  Delay in diagnosis of prostatic abscess can have grave sequelae, including spontaneous rupture into the urethra, perineum, bladder or rectum and the development of septic shock. Only one case of spontaneous rupture into the peritoneal cavity has been reported in the literature.
  
  
  CONCLUSIONS
  This case highlights the importance of early diagnosis of prostatic abscess and close monitoring of patients, with diabetes or immunosuppression, treated for acute prostatitis.
authors.affiliation: Urology Department, Les Aghlabides Surgical Division, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia. Electronic address: snaouar@laposte.net.
authors.forename: Sahbi
authors.initials: S
authors.lastname: Naouar
authors.affiliation: Urology Department, Les Aghlabides Surgical Division, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.
authors.forename: Nidhal
authors.initials: N
authors.lastname: Ati
authors.affiliation: Urology Department, Les Aghlabides Surgical Division, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.
authors.forename: Salem
authors.initials: S
authors.lastname: Braiek
authors.affiliation: Urology Department, Les Aghlabides Surgical Division, Ibn El Jazzar Teaching Hospital, Kairouan, Tunisia.
authors.forename: Rafik El
authors.initials: RE
authors.lastname: Kamel
keywords: Abscess; Peritoneum; Prostate; Rupture