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Case Reports in Surgery
Volume 2017, Article ID 4154016, 4 pages
Case Report

Prostatic Abscess after Stapled Hemorrhoidopexy Caused by ESBL Extended Spectrum Beta Lactamase Producing Klebsiella pneumoniae: An Additional Challenge to Postoperative Sepsis

1International Medical Centre (IMC) Hospital, Internal Medicine Department, Jeddah, Saudi Arabia
2IMC Hospital, General Surgery Department, Jeddah, Saudi Arabia
3IMC Hospital, Radiology Department, Jeddah, Saudi Arabia
4IMC Hospital, Clinical Pathology Department, Saudi Arabia
5IMC Hospital, Emergency Medicine Department, Jeddah, Saudi Arabia

Correspondence should be addressed to Abdalla Khalil; moc.liamg@95kalladba

Received 6 March 2017; Revised 2 June 2017; Accepted 19 June 2017; Published 17 July 2017

Academic Editor: Imran Hassan

Copyright © 2017 Asem Saleh et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Postoperative septic complications of hemorrhoids surgical interventions are rare, but very serious with high mortality rate. Early diagnosis and prompt therapy are essential to save patient’s life. There are a good number of articles and case reports about these septic complications. We are presenting a case report of a prostatic abscess caused by extended spectrum beta lactamase (ESBL) producing Klebsiella pneumoniae after hemorrhoidopexy. Our patient was a healthy middle aged Saudi male who has no significant medical history apart from morbid obesity and recurrent urinary tract infections. ESBL producing K. pneumoniae could be detected only after aspiration of the prostatic abscess, but proper antibiotic was introduced intravenously on admission before culture of aspirate of the abscess was available. Antibiotic was continued for 30 days and abscess resolved completely. In our electronic search, we could not find any case report of prostatic abscess after stapled hemorrhoidopexy caused by ESBL producing organism. This is an additional challenge for treating physicians as these organisms are sensitive only to one group of antibiotics (carbapenem group).