Perinephric abscesses in the pediatric population: case presentation and review of the literature

Abstract

A literature review found 13 studies looking at diagnosis and/or treatment of idiopathic perinephric abscess. With non-specific clinical signs and symptoms, diagnosis can be delayed and rests heavily on clinical suspicion and appropriate imaging. Treatment includes antibiotics alone, or in conjunction with percutaneous or open surgical drainage. In summarizing these studies, a suggestion for diagnosis and basic treatment approach is outlined.

A Rare Case of Perinephric Abscess Squeled Into Acute Intestinal Obstruction

“…Patients with diabetes account for one third of all perinephric abscess cases. [4] Escherichia coli, Proteus species, and Staphylococcus aureus are the usual etiologic organisms. Predisposing factors for perinephric abscess include neurogenic bladder, vesicoureteral reflux, bladder outlet obstruction, renal papillary necrosis, obstructing calculus, genitourinary tuberculosis, trauma (eg, renal biopsy, [5] urinary instrumentation, urologic surgery), immunosuppression, and intravenous drug abuse.…”