PERCUTANEOUS DRAINAGE AS AN ALTERNATIVE OF SURGICAL MANAGEMENT IN PARARENAL ABSCESS: A CASE REPORT

##plugins.themes.bootstrap3.article.main##

##plugins.themes.bootstrap3.article.sidebar##

PDF
Published 2023-01-10
Bagas Wilianto Besut Daryanto Paksi Satyagraha

Abstract

Objective: This case report will discuss the experience of using percutaneous drainage as an alternative of open surgery in pararenal abscess therapy. Case(s) Presentation: 61 years old woman complained of left flank pain 6 months before with septic condition. Physical examination revealed tenderness and mass in the left flank region with leukocytosis. Abdominal Computed Tomography (CT) Scan results showed a left lower pole pararenal abscess, severe hydropyonephrosis and ureteropelvic junction stones. Percutaneous abscess drainage and percutaneous nephrostomy was performed with an 18Fr troicart using ultrasound guidance. Discussion: The pus culture showed Escherichia coli bacteria. After three days of operation and intravenous antibiotics, the patient experienced clinical improvement. Outpatient follow-up showed decreased drain production from percutaneous abscess drainage and clear yellow liquid production from percutaneous. Percutaneous nephrolithotomy was performed for the management of stone evacuation. After going through the whole procedure, there is clinical improvement of patient. Conclusion: Percutaneous drainage is an alternative option in the management of perirenal abscesses. Compared to open surgical drainage, the percutaneous technique provides a minimally invasive process, shorter length of stay and more effective costs. This procedure has also shown good clinical improvement in patients. Keywords: Minimal invasive, pararenal abscess, percutaneous drainage.


##plugins.themes.bootstrap3.article.details##

Keywords

Minimal Invasive, Pararenal Abscess, Percutaneous Drainage

References

Liu XQ, Wang CC, Liu YB, Liu K. Renal and perinephric abscesses in West China Hospital: 10-year retrospective-descriptive study. World J. Nephrol. 2016; 5(1): 108-14

Hao LJ, Wang RS. Proper diagnosis and treatment of renal abscess. Int J Case Rep Imag. 2014; 5(12): 854-8

Rubilotta E, Balzarro M, Lacola V, Sarti A, Porcaro AB, Artibani W. Current clinical management of renal and perinephric abscesses: a literature review. Urol. J. 2014; 81(3): 144-7

Boroomand M, Moghtaderi M, Hekmati P. Management of renal abscess in a 5-year-old girl: A case report. J. Pediatr. Nephrol. 2017 Aug 10; 5(3): 1-3.

Lee BE, Seol HY, Kim TK, Seong EY, Song SH, Lee DW, et al. Recent clinical overview of renal and perirenal abscesses in 56 consecutive cases. Korean J Intern Med. 2008; 23(3): 140-8

Lee SH, Jung HJ, Mah SY, Chung BH. Renal abscesses measuring 5 cm or less: outcome of medical treatment without therapeutic drainage. Yonsei Med. J. 2010; 51(4): 569-73

Wang IK, Chen YM, Chen YC, Fang JT, Huang CC. Successful treatment of renal abscess with percutaneous needle aspiration in a diabetic patient with end stage renal disease undergoing hemodialysis. Ren Fail. 2003; 25(4): 653-7.

Akhan O, Durmaz H, Balcı S, Birgi E, Çiftçi T, Akıncı D. Percutaneous drainage of retroperitoneal abscesses: variables for success, failure, and recurrence. Diagn Interv Radiol. 2020; 26(2): 124-30

El-Nahas AR, Faisal R, Mohsen T, Al-Marhoon MS, Abol-Enein H. What is the best drainage method for a perinephric abscess?. International Braz J Urol. 2010; 36(1): 29-37.

Vaidyanathan S, Soni BM, Oo T, Singh G, Hughes P. Spontaneous external drainage of perinephric abscess in spinal cord injury patients through previous nephrostomy track. Spinal Cord. 2002; 40(4): 207-8.

Lorenz J, Thomas JL. Complications of percutaneous fluid drainage. Semin Intervent Radiol. 2006; 23(2); 194-204

Brown C, Kang L, Kim ST. Percutaneous drainage of abdominal and pelvic abscesses in children. Semin Intervent Radiol. 2012; 29(4); 286-94

Gervais DA, Brown SD, Connolly SA, Brec SL, Harisinghani MG, Mueller PR. Percutaneous imaging-guided abdominal and pelvic abscess drainage in children. Radiographics. 2004; 24(3): 737-54.

Section
Articles
Copyright Information
Department of Urology, Faculty of Medicine/Airlangga University