A Clinical Survey on Renal and Perinephric Abscess / 대한비뇨기과학회지

ABSTRACT

Renal and perinephric abscess are uncommon entities with a multitude of clinical presentations. Delay in diagnosis and treatment contributes to the high morbidity and mortality rate in the past. Recently, the introduction of newer imaging modalities, such as ultrasonography and CT scanning, has allowed accurate diagnosis and treatment. We reviewed retrospectively 12 cases of renal or perinephric abscess who were admitted to the National Medical Center during the period from January, 1981 to January, 1991. The following results were observed. 1. Among 12 patients, 7 patients were women and 5 patients were men and their age ranged from 11 to 59 years old with mean of 34 years. In 9 cases, the right kidneys were involved and in 3 cases, the left kidneys were involved. 2. On laboratory findings, 5 cases(42%) of pyuria and 1 case(8%) of positive urine culture and 11 cases(92%) of leukocytosis were seen. 3. Among 10 cases performed pus culture, causative organism was recovered in 8 cases Gram-positive coccus in 5 cases and Gram-negative rod in 3 cases. 4. Urologic underlying diseases were identified in 5 cases and non-urologic associated diseases were in 5 cases. 5. Among 12 cases, 2 cases were treated by antibiotics only, 1 case was treated by nephrectomy, 4 cases underwent open drainage and 5 cases were managed successfully by closed drainage.