A Case of Perinephric Abscess Treated by Percutaneous Drainage

경피적 배농술로 치료한 신 주위 농양 1례

Perinephric abscess is an accumulation of pus in the perinephric space, the area anatomically defined between the kidney and Gerota's fascia. Gram negative organisms are the most prevalent bacterial species found in perinephric abscess. Fever, flank pain, vomiting and abdominal mass are the usual presenting complaints. But with its insidious onset, variable symptoms and rue frequency in children, perinephric abscess has been a major diagnostic problem, leading to delayed diagnosis and inappropriate treatment, which increase the rate of complication and mortality. Clinical diagnosis of perinephric abscess is difficult but must always be considered in children with a febrile septicemic illness. For appropriate treatment, early detection is very important, and either ultrasonography or computed tomography(CT) facilitates the diagnosis and establishment of treatment method. We experienced a case of left perinephric abscess treated by percutaneous drainage in a 1-year 7-month old boy. Review of literature was made briefly.

신 주위 농양은 증상이 비특이적이고 다양하여 임상적으로 진단이 어렵고 치료가 늦어지기 쉬워 합병증과 사망률이 높은 질환이므로, 발열이 지속되는 경우에 감별 진단해야 하는 질환이다. 초음파 촬영술, 전산화 단층 촬영술 등은 신 주위 농양을 조기에 진단하고 적절한 치료 방향을 정하는데 유용하며, 치료 방법으로 항생제 외에 경피적 농흡인, 배농 및 수술 등의 처치가 필요하다. 저자들은 발열이 9일 동안 지속된 환아에서 경피적 배농술로 치료한 신 주위 농양 1례를 경험하였기에 문헌 고찰과 함께 보고하는 바이다.