염증성 신종물 24레
Renal Inflammatory Mass Lesion
소속 상세정보
이현무/Lee HM
주명수/김영균/Choo MS/Kim YK
KMID : 0358319870280010069
Abstract
Herein we have analyzed retrospectively 24 patients with renal inflammatory mass lesions such as renal abscess, perirenal abscess, emphysematous pyelonephritis and xanthogranulomatous pyelonephritis managed at Seoul National University Hospital during 5-year period from January l980 to December l985. Major presentations were flank or abdominal pain (83%) and fever (79%) The most common organism was E. coli which was cultured in only 6 urine and 2 blood samples. The most common associated conditions were diabetes mellitus, renal and ureteral stone and recent abdominal operation. Ultrasonography of the kidney was the most available and accurate diagnostic method if combined with percutaneous aspiration which could be a therapeutic tool as well Medical treatment was done in 9 patients and surgical treatment was done in l5 patients when there was no improvement with medical therapy, to remove the precipitating factor and to confirm the mass lesion. All patients were improved and discharged except one death due to upper gastointestinal bleeding and hepatic failure.
키워드
신장; 염증성종물; 초음파; renal mass; inflammation; ultrasonography
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