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[Perinephretic phlegmon: about 36 cases].

A Benchekroun1, H A el Alj, H el Sayegh

  • 1Service d'urologie A, CHU Ibn-Sina, Rabat, Maroc.

Annales D'Urologie
|September 4, 2003
PubMed
Summary
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Perinephric phlegmon (PPN) is a serious kidney infection. Prompt diagnosis and treatment, often involving surgical drainage, are crucial for favorable outcomes in patients with PPN.

Area of Science:

  • Urology
  • Infectious Diseases
  • Radiology

Background:

  • Perinephric phlegmon (PPN) is a severe retroperitoneal infection.
  • This study reviews 36 cases over 15 years to understand its characteristics and management.

Observation:

  • The average patient age was 37, with a male predominance (27 men, 9 women).
  • Key predisposing factors included diabetes (27.8%) and kidney calculi (22.3%).
  • Delayed diagnosis (>3 weeks) occurred in 80% of cases, with pain, fever, and flank mass as primary symptoms.

Findings:

  • Ultrasonography (84%) and CT scans were primary diagnostic tools.
  • Common causative agents were Gram-negative bacilli and Staphylococcus.
  • Treatment involved antibiotics and drainage; surgical drainage (83.7%) was more common than percutaneous drainage (16.7%).

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Implications:

  • Early diagnosis and intervention are critical for managing perinephric phlegmon.
  • Effective management strategies, including appropriate drainage, lead to positive patient outcomes.
  • Understanding risk factors like diabetes and kidney stones can aid in prevention and early detection.