Perinephric abscess

Case contributed by Naqibullah Foladi
Diagnosis almost certain

Presentation

Diabetic patient. The patient has also developed hypertension, recently.

Patient Data

Age: 45 years
Gender: Female
ct

Well-circumscribed, rim enhancing collection with air locules in left perirenal space compressing the kidney. The Gerotas fascia is showing thickening and enhancement. Posterior pararenal space fat is obliterated as well.

Possible left renal vein thrombosis.
The right kidney is unremarkable. No hydronephrosis or nephrolithiasis is seen in either side.

Enlarged para-aortic lymph nodes are seen.

Case Discussion

Features of perinephric abscess with extrinsic compression on the kidney and the development of hypertension, known as Page kidney

 

Additional contributor: Dr. M.M. Hoshang.

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