Case presentation A 71-year-old man presented with a history of decreased appetite and energy levels along with a gradual increase in α1-fetoprotein levels for the past six months. He also complained of frequent urge to urinate, nocturia, and difficulty in voiding his bladder. History Ten years ago, the patient had undergone a cadaveric orthotopic liver transplant for hepatocellular carcinoma and had also suffered from hepatitis B-related cirrhosis. He underwent transurethral resection of the prostate, following which he developed abdominal pain, fever, and signs of septic shock.
Investigations A CT scan revealed a large necrotic pelvic mass involving the prostate and the sigmoid colon. An image-guided drain was performed that indicated no purulence. An indwelling Foley catheter was draining brown and cloudy urine. Another CT scan revealed a large necrotic pelvic mass with thick walls…
