Diagnosis of paranephritic abscess
Neumann, G.
Zeitschrift für die Gesamte Innere Medizin und ihre Grenzgebiete 32(5): 126-128
1977
ISSN/ISBN: 0044-2542 PMID: 868184 Document Number: 121759
The paranephritic absecess belongs to the more infrequent clinical pictures. On the basis of a not common fistulography of the lumbar region on the right, in which we succeeded in a complete description of the cavitary system of the kidneys retrospectively the diagnostic approach in the paranephritic abscess is briefly described. Hereby, as a rule, no too extensive investigations are necessary, as far is at all thought of the possibility of a paranephritic abscess. With typical clinical findings alone - pain and exteriorly visible swelling - the diagnosis seems to be nearly ascertained. Radiologically in many cases the general radiograph of the abdomen (references to radio-positive concrements) and the intravenous pyelogramme are enough. When a fistula is present one tries to find the starting point of the process by means of a contrast remedy filling. In the majority of patients an operative treatment follows.