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Updated: Jul 6, 2026
03:42
Retroperitoneal Laparoscopic Debridement and Drainage for Pancreatic Abscess
Published on: March 15, 2024
[Perinephric abscess: associated factors and mortality]
Efraín Maldonado-Alcaraz1, Guillermo Ixquiac-Pineda, Virgilio López-Sámano
1Servicio de Urología, Hospital de Especialidades Centro Médico Nacional Siglo XXI, México, Distrito Federal, México. urologia_maldonado@yahoo.com.mx
Archivos Espanoles De Urologia
|April 15, 2008
Summary
Predisposing factors for perinephric abscess include diabetes mellitus and nephrolithiasis. Low hemoglobin and high white blood cell counts predict kidney removal, while low platelets indicate septic shock and mortality risk.
Area of Science:
- Nephrology
- Urology
- Infectious Diseases
Context:
- Perinephric abscesses are serious kidney infections.
- Identifying risk factors and predictors of poor outcomes is crucial for patient management.
Purpose:
- To identify predisposing factors for perinephric abscesses.
- To determine clinical and laboratory events associated with unfavorable outcomes, including nephrectomy, septic shock, and mortality.
Summary:
- This retrospective study analyzed 23 patients with perinephric abscess.
- Common predisposing factors included diabetes mellitus (65.2%) and nephrolithiasis (43.47%).
- Factors associated with adverse outcomes were: hemoglobin >10.5 g/dL and WBC <15 x 10(3)/µL with nephrectomy; platelet count <140 x 10(3)/µL with septic shock; mortality (8.69%) was linked to fever, anemia, high WBC, low platelets, hyponatremia, septic shock, and nephrectomy.
Impact:
- Findings highlight the importance of managing diabetes and nephrolithiasis to prevent perinephric abscesses.
- Specific laboratory values at admission can predict the need for nephrectomy, septic shock, and mortality.
- This research aids in risk stratification and timely intervention for perinephric abscess patients.
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