J Korean Pediatr Soc.
2000 Jul;43(7):1012-1015.
A Case of Renal Abscess in Healthy Child
- Affiliations
-
- 1Department of Pediatrics, College of Medicine, University of Ulsan, Ulsan, Korea.
- 2Department of Radiology, College of Medicine, University of Ulsan, Ulsan, Korea.
Abstract
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Renal abscess is rare in children and presents varying features which often lead to delay or
error in diagnosis. Fever, lumbar pain, abdominal pain and occasional flank rnass are the
usual presenting cornplaints but a high degree of suspicion is important for the early
detection of renal abscess. Hematogenous seeding of the kidney or ascending infection from
the urinary collecting system are two proposed mechanisms of renal abscess formation. Renal
ultrasonography facilitates an earlier diagnosis and is also useful in establishing
percutaneous drainage, which appears to be the treatment method of choice. We experienced
a case of renal abscess which was treated by percutaneous aspiration and antibiotics without
surgical intervention.