Korean J Urol.  1994 Mar;35(3):261-264.

Percutaneous Management of the Renal and Perirenal Abscess

• Hwang YJ
• Woo YN

Abstract

Between July 1988 and June 1993, nine patients with renal and perirenal abscess were treated using the percutaneous management. Percutaneous abscess drainage was done under ultra- sound guidance and local anesthesia. Among the nine patients, two patients were managed by percutaneous aspiration only and the other seven patients were managed by continuous drainage using the 8.3F pig-tail or 14F Malecot catheter. The catheters were placed in the abscess cavity during the period from 4 days to 19 days (average 8 days). On the abscess culture, the organisms were identified in 9 cases ( 100%) ; E.coli was in 4 cases, S. aureus was in 2 cases, Proteus, Enterobacter, unidentified gram negative bacilli in 1 case, respectively. After catheter removal, all patients have remained free of symptoms during followup from 2 months to 32 months (average 20 months). We suggest that proper antibiotic therapy combined with ultrasound guided percutaneous drainage of renal and perirenal abscess is a choice of reasonable, safe and effective management in selected patients.

Keyword

Renal abscess; Perirenal abscess; Percutaneous drainage

MeSH Terms

Abscess*
Anesthesia, Local
Catheters
Drainage
Enterobacter
Follow-Up Studies
Humans
Proteus
Ultrasonography