Search
retroperitoneal abscess
Etiology:
- coliform organisms [2]
- Escherichia coli
- Streptococcus
- Staphylococcus
- anaerobes
- may be polymicrobic
- Escherichia coli & Proteus predominate in perinephric abscess
Clinical manifestations:
- insidious, occult illness
- intermittent spiking fever
- flexed hip position seems to relieve pain
Radiology:
- computed tomography
Complications:
- mortality > 70% with positive blood cultures
Management:
- appropriate antibiotics
- antibiotics alone generally sufficient for renal abscesses < 3 cm [3]
- radiologic percutaneous drainage in selected cases
- surgical drainage in more complicated cases
Specific
perinephric abscess
renal abscess
General
abscess
retroperitoneal infection
References
- Crepps JT et al
Management and outcome of retroperitoneal abscesses.
Ann Surg. 1987 March; 205(3): 276-281.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492717/
- Harris LF and Sparks EJ
Retroperitoneal Abscess. Case Report and Review of the
Literature.
Digestive Diseases and Sciences 25(5) May 1980
http://link.springer.com/article/10.1007/BF01308066
- NEJM Knowledge+ Nephrology/Urology