Perinephric abscess as a rare cause of acute abdomen: A case report

Abstract

Renal and perinephric abscesses are usually confined within the Gerota's fascia and treated with conservatively. We herein present a case with peritonitis caused by the spillage of perinephritic abscess into the abdomen through the Gerota's fascia, which is clinical outcome. A 41-year-old female patient was admitted to emergency room with complaints of abdominal pain, bloating, fever, and fatigue. During the operation, an abscess of approximately 20x15cm in size was observed to extend into the abdominal cavity through the Gerota's fascia, causing secondary peritonitis. On the 20 th postoperative day, the patient was uneventfully discharged. Delay in diagnosis of renal and perinephric abscesses can lead to fatal complications. Laparotomy is a life-saving approach in cases that cannot be treated with percutaneous drainage, when the abscess is large and causes complications such as strictures, fistulas, or secondary peritonitis, by extension through the Gerota's fascia, as in our case.

A rare case of bilateral renal abscess from staphylococcal infection in a young healthy patient

“…[ 14 ] Percutaneous drainage can provide a care rate of 93%. [ 15 ] Our case received intravenous broad-spectrum antibiotics and underwent percutaneous drainage of the right renal abscess due to its large size (nearly 5 cm). This provided an advantage in organism identification and increased the resolution rate in conjunction with antibiotics.…”

Lesión dérmica como manifestación inicial de absceso renal

“…El absceso renal es una complicación rara, pero grave, dentro de las infecciones del tracto urinario. Actualmente la prevalencia es similar en ambos sexos 1 , aunque, en México, ocurre más en la mujer 2 . Se define como absceso renal a las infecciones supuradas que comprometen el riñón y/o el espacio perinefrítico.…”