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Splenic abscess arising by direct extension from a perinephric abscess
J H Reese1, R U Anderson, G Friedland
1Department of Surgery, Stanford University Medical Center, California.
Urologic Radiology
|January 1, 1990
Summary
A rare case of a perinephric abscess invading the spleen was treated in a woman with bladder exstrophy. This study highlights a novel presentation of perinephric abscesses, previously unreported to extend into the spleen.
Area of Science:
- Urology
- Surgical Case Report
Background:
- Perinephric abscesses are collections of pus in the space around the kidney.
- Bladder exstrophy is a rare congenital condition where the bladder is outside the body.
Observation:
- A 25-year-old woman with bladder exstrophy presented with a perinephric abscess.
- The abscess was found to have invaded the spleen, an unusual extension.
Findings:
- The case details a perinephric abscess extending into the spleen, a presentation not previously documented in medical literature.
- Successful treatment involved a combination of percutaneous drainage and open surgical intervention.
Implications:
- This case expands the known spectrum of perinephric abscess complications.
- It underscores the importance of considering unusual presentations in patients with complex congenital anomalies like bladder exstrophy.