Presentation
Middle aged fever with fever and abdominal pain diagnosed with a prior ultrasound suggestive of a renal abscess.
Patient Data
Thick-walled enhancing cystic mass in the mid pole of the right kidney.
Right perinephric inflammatory change and thickening of Gerota's fascia.
Case Discussion
Renal abscesses usually form following pyelonephritis. Immuno-suppressed patients are most susceptible, particularly those with diabetes mellitus.
Small abscesses may be treated with antibiotics only. Larger abscesses are typically treated with an image-guided percutaneous drain insertion, as in this case.
Successful resolution was achieved in 36 hours following ultrasound-guided percutaneous drainage.