title: [Diagnosis of paranephritic abscess].
abstract: The paranephritic absecess belongs to the more infrequent clinical pictures. On the basis of a not common fistulography of the lumbar region on the right, in which we succeeded in a complete description of the cavitary system of the kidneys retrospectively the diagnostic approach in the paranephritic abscess is briefly described. Hereby, as a rule, no too extensive investigations are necessary, as far is at all thought of the possibility of a paranephritic abscess. With typical clinical findings alone - pain and exteriorly visible swelling - the diagnosis seems to be nearly ascertained. Radiologically in many cases the general radiograph of the abdomen (references to radio-positive concrements) and the intravenous pyelogramme are enough. When a fistula is present one tries to find the starting point of the process by means of a contrast remedy filling. In the majority of patients an operative treatment follows.
mesh_terms: D000038:Abscess / Q000000981:diagnostic imaging*; D000368:Aged; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging*; D007674:Kidney Diseases / Q000000981:diagnostic imaging; D011859:Radiography; D014548:Urinary Fistula / Q000000981:diagnostic imaging
vernacular_title: Zur diagnostik des paranephritischen abszesses