Spontaneous rupture of pyonephrosis presenting as anterior abdominal wall abscess: a rare case report
نویسندگان
چکیده
Abstract Background A pyonephrosis caused by an obstructing calculus is typically accompanied fever, loin pain, and other signs of urinary tract infection. Occasionally, severe thinning the renal parenchyma in allows direct forniceal rupture into retroperitoneum very rarely anterior abdominal wall, misconstruing it as isolated wall abscess. Case presentation Diabetes-related 55-year-old diabetic male presented with abscess his periumbilical region extending right lumbar region. He did not exhibit any symptoms, contrast enhanced computed tomography [CECT] pelvic examinations revealed pyonephrosis. There a 7.5 mm defect lower pole kidney 171 cc collection adjacent to communicating 150 superficial through 15 defect. Incision drainage retroperitoneal abscesses were done at first. Right DJ stenting was performed. lateral decubitus placed for dependent drainage. Resolution residual collections confirmed subsequent ultrasonography KUB, drain then removed. done, patient discharged. Two months later, DTPA scan GFR 30 ml/min kidney. Patient underwent percutaneous nephrolithotomy. Conclusion The sudden rare event. Even rarer on wall. correct diagnosis search source must be undertaken before intervention. An aggressive prompt management needed prevent further complications from occurring. This case being add literature regard abnormal presentations ruptured its management.
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ژورنال
عنوان ژورنال: African Journal of Urology
سال: 2021
ISSN: ['2090-2379', '1110-5704', '1961-9987']
DOI: https://doi.org/10.1186/s12301-021-00226-x