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[Perinephritic abscess].

F Samdal1, K Vada, B Loe

  • 1Urologisk seksjon Kirurgisk avdeling, Regionsykehuset i Trondheim.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 10, 1990
PubMed
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Recognizing perinephric abscesses remains difficult despite advances. Open drainage is often the preferred treatment, though percutaneous drainage offers an alternative for high-risk patients.

Area of Science:

  • Urology
  • Radiology
  • Infectious Diseases

Context:

  • Perinephric abscesses pose diagnostic challenges.
  • Untreated abscesses lead to significant mortality.
  • Diagnostic radiology advances have not fully resolved recognition issues.

Purpose:

  • To present a decade of experience with perinephric abscess management.
  • To evaluate the efficacy of open drainage procedures.
  • To discuss percutaneous drainage as an alternative treatment.

Summary:

  • This study reviewed 17 patients treated for perinephric abscesses over ten years.
  • All patients underwent open drainage, which was found to be the primary treatment of choice.
  • Percutaneous drainage is highlighted as a viable alternative, especially for high-risk individuals.

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Impact:

  • Open drainage remains a reliable surgical option for most perinephric abscess cases.
  • Percutaneous drainage provides a less invasive option for select patient populations.
  • Improved understanding of treatment strategies can reduce perinephric abscess mortality.