Acute uropathogen-related cowperitis with sepsis: case report and literature review

Giuseppe Maiolino; Andrea Boni; Michele Del Zingaro; Miriam Russo; Ettore Mearini

doi:10.1016/j.eucr.2023.102566

Acute uropathogen-related cowperitis with sepsis: case report and literature review

Urol Case Rep. 2023 Sep 13:51:102566. doi: 10.1016/j.eucr.2023.102566. eCollection 2023 Nov.

Authors

Giuseppe Maiolino¹, Andrea Boni¹, Michele Del Zingaro¹, Miriam Russo¹, Ettore Mearini¹

Affiliation

¹ Department of Surgical and Biomedical Sciences, Division of Urology Clinic, University of Perugia, Perugia, 06129, Italy.

Abstract

Acute cowperitis, which was previously known as a common complication of sexually transmitted infections (STIs), is now commonly associated with bacterial urinary tract infections, particularly Escherichia coli. Patients often have a history of STIs, and the symptoms resemble other male accessory gland infections (MAGIs). Recent cases associated with sepsis have been managed with percutaneous drainage and/or surgery. We present a case of acute cowperitis with sepsis and an abscess in the right small gland. The diagnosis was made using transperineal ultrasound, and the patient was successfully treated only with a long-term antibiotic therapy.

Keywords: Case report; Cowperitis; MAGI; Perineal ultrasound; Sepsis.

Publication types

Case Reports