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논문분류	춘계학술대회 초록집
제목	Huge Emphysematous Perinephric Abscess in Patient without Diabetes Mellitus or Urinary Tract Abnormality
저자	Nakyoung Hwang1, Kyeong Joo Park2, Young Ji Beack2, Su Jeung Kim2, Min Ja Baek2, Na Young Jeong2, Su Jin Kim2, Jong Man Park1, Woo Jin Jung1, Su-min Park1, Jin Suk Kang1, Sang Heon Song1, Harin Rhee1, Eun Young Seong1, Ihm Soo Kwak1
출판정보	2015; 2015(1):
키워드	콩팥주위,농양,경피적 농양배액술
초록	Emphysematous perirenal and renal abscesses are uncommon complications of urinary tract infections, usually occurring in patients with diabetic mellitus or obstructive uropathy. It usually occurs in the setting of ascending infection with obstructive uropathy secondary to bacteremia. The etiology is usually a gram negative bacillus. Predisposing factors include diabetes mellitus and urinary tract abnormalities. Small-sized (<3 cm) and medium-sized (3-5 cm) abscesses were successfully treated with intravenous antibiotics alone, though large (greater than 5 cm) abscesses often required percutaneous drainage or open surgical intervention. We report a case of 20 cm sized emphysematous perinephric abscess in a patient without diabetes mellitus who had not previous episode of urinary tract infection. Klebsiella pneumoniae were isolated from urine and abscess culture. The patient recovered with percutaneous drainage of the abscess and intravenous antibiotics. About 2700ml of pus and foul gas were drained out. Follow-up CT scan revealed decrease in the extent of perirenal abscess. A new abscess did not found during the follow-up period.
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