Renal abscess

Case contributed by Dr Ian Bickle

Presentation

Middle aged fever with fever and abdominal pain diagnosed with a prior ultrasound suggestive of a renal abscess.

Patient Data

Age: 48
Gender: Female
CT

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 a pyelonephritis.  Immuno-surpressed 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 percutaenous drain insertion, as in this case.

Successful resolution was achieved in 36 hours following ultrasound guided percutaneous drainage.

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Case information

rID: 29853
Case created: 27th Jun 2014
Last edited: 15th Jul 2016
System: Urogenital
Tag: abscess
Inclusion in quiz mode: Included

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