title: [Diagnosis and therapy of pyonephrosis in infancy and childhood].
abstract: A diagnostic schedule in pyonephrosis was followed in thirteen infants and children. Obstruction of the urinary tract could be demonstrated in 12 patients, non-obstructive pyonephrosis was present in one case. Congenital obstructive malformation of the urinary tract was found in 7 patients, obstruction was acquired in 5. Sonographically, pyonephrosis could be diagnosed in 8 patients (64.3%). Excretory urography (10/13) was helpful in no actual case. Sonographical-guided percutaneous nephrostomies were performed in 5 patients and operative nephrostomies in 4. Emergency-nephrectomies were done in 4 patients. A tap of the renal pelvis is the best way for early diagnosis whenever pyonephrosis is clinically suspected.
authors.affiliation: Röntgenabteilung, Universitäts-Kinderklinik München im Dr. von Haunerschen Kinderspital.
authors.forename: K
authors.initials: K
authors.lastname: Schneider
authors.forename: F J
authors.initials: FJ
authors.lastname: Helmig
authors.forename: R
authors.initials: R
authors.lastname: Eife
authors.forename: B
authors.initials: B
authors.lastname: Belohradsky
authors.forename: K
authors.initials: K
authors.lastname: Devens
authors.forename: H
authors.initials: H
authors.lastname: Fendel
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D009392:Nephrectomy; D009403:Nephrostomy, Percutaneous; D011704:Pyelonephritis / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014463:Ultrasonography; D014567:Urography
vernacular_title: Diagnostik und Therapie der Pyonephrose im Säuglings- und Kindesalter.