J Korean Soc Pediatr Nephrol > Volume 10(1); 2006 > Article
J Korean Soc Pediatr Nephrol 2006;10(1): 72-76.
경피적 배농술로 치료한 신 주위 농양 1례
박경연, 강지웅, 이오경
1전주 예수병원 소아과
2전주 예수병원 소아과
3전주 예수병원 소아과
A Case of Perinephric Abscess Treated by Percutaneous Drainage
Kyong-Yun Park, Ji-Ung Kang, O-Kyong Lee
1Department of Pediatrics, Presbyterian Medical Center
2Department of Pediatrics, Presbyterian Medical Center
3Department of Pediatrics, Presbyterian Medical Center
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ABSTRACT
Perinephric abscess is an accumulation of pus in the perinephric space, the area anatomically defined between the kidney and Gerota's fascia. Gram negative organisms are the most prevalent bacterial species found in perinephric abscess. Fever, flank pain, vomiting and abdominal mass are the usual presenting complaints. But with its insidious onset, variable symptoms and rue frequency in children, perinephric abscess has been a major diagnostic problem, leading to delayed diagnosis and inappropriate treatment, which increase the rate of complication and mortality. Clinical diagnosis of perinephric abscess is difficult but must always be considered in children with a febrile septicemic illness. For appropriate treatment, early detection is very important, and either ultrasonography or computed tomography(CT) facilitates the diagnosis and establishment of treatment method. We experienced a case of left perinephric abscess treated by percutaneous drainage in a 1-year 7-month old boy. Review of literature was made briefly.
Key words: Perinephric abscess | Percutaneous drainage
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