Perinephretic phlegmon: about 36 cases

The authors report a series of 36 cases of perinephric phlegmon during 15 years. The patients are 27 men and 9 women. Mean age was 37 years (ranging between 25 and 70). The promoting factors of PPN are diabetes (27.8%), and kidney calculi (22.3%). Delay diagnosis is more than 3 weeks in 80% of the p...

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Bibliographic Details
Published in:Annales d'urologie 2003-08, Vol.37 (4), p.160-163
Main Authors: Benchekroun, A, el Alj, H A, el Sayegh, H, Lachkar, A, Nouini, Y, Benslimane, L, Belahnech, Z, Marzouk, M, Faik, M
Format: Article
Language:fre
Subjects:
Adult
Aged
Anti-Bacterial Agents - therapeutic use
Cellulitis - diagnosis
Cellulitis - pathology
Cellulitis - therapy
Diabetes Complications
Diagnosis, Differential
Drainage
Female
Humans
Kidney Calculi - complications
Kidney Diseases - diagnosis
Kidney Diseases - pathology
Kidney Diseases - therapy
Male
Middle Aged
Prognosis
Risk Factors
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Summary:The authors report a series of 36 cases of perinephric phlegmon during 15 years. The patients are 27 men and 9 women. Mean age was 37 years (ranging between 25 and 70). The promoting factors of PPN are diabetes (27.8%), and kidney calculi (22.3%). Delay diagnosis is more than 3 weeks in 80% of the patients. The clinical symptomatology was dominated by pain, fever and flank mass. Diagnosis is carried out by ultrasonography in 84% and by CT scan whenever it is done. The common germs are negative Gram bacilli and staphylococcus. The treatment consists in antibiotherapy associated to a percutaneous drainage of the collection in 6 patients (16.7%) and a surgical drainage in 30 patients (83.7%). The follow-up are favorable in all cases.
ISSN:0003-4401