Prostatic Abscess Presenting As Constipation

Introduction: Prostatic abscesses are uncommon urologic infections, often underdiagnosed due to their nonspecific symptoms and clinical overlap with acute bacterial prostatitis. Case: A 53-year-old diabetic man presented with constipation, abdominal pain, and urinary symptoms, and imaging revealed a large prostatic abscess compressing the rectum. Cultures grew Klebsiella pneumoniae, and treatment included intravenous antibiotics followed by transurethral unroofing of the abscess. Discussion: This case highlights the atypical presentation of prostatic abscess and underscores the importance of prompt imaging and intervention. J MEDICINE 2026; 27(2): 145-146