A 74-year-old man presented with a history of collapse and abdominal pain. Initial imaging showed a left sided preirenal collection. The initial working diagnosis was perirenal hematoma secondary to renal trauma. Subsequent patient deterioration led to further imaging which led to the diagnosis of a duodenal perforation with tracking of duodenal contents into the left perirenal space. This important differential should be a consideration in cases of perinephric collections of unknown etiology.
Transrectal ultrasound-guided prostate biopsy is widely used for the diagnosis of prostate cancer. Although considered a safe procedure it is associated with complications which can be hemorrhagic (hematuria, hematospermia and hematochezia) or infective (bacteremia, bacteriuria, urinary tract infection, pyrexia and sepsis). We present a previously unreported complication of transrectal biopsy of the prostate, cerebral abscess in an otherwise healthy 54-year-old male with suspected prostate cancer. This case report highlights the need for awareness of infective complications in this seemingly safe procedure.
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