[Acute abdomen secondary to pyonephrosis. Perinephritic abscess with fistula to peritoneal cavity].
OBJECTIVE
To describe a case of acute abdomen arising from an underlying urological condition.


RESULTS
Herein we describe a patient with acute abdomen arising from a pyonephrotic kidney with fistulization to the peritoneal cavity. The clinical manifestations disappeared following nephrectomy by the anterior approach and drainage of the intraperitoneal cavity.


CONCLUSIONS
Although infrequent, it should be taken into account that peritoneal abscess and/or pyonephrosis can cause acute abdomen when they fistulize to the peritoneal cavity.
Napal Lecumberri
S
S
Hernando Alonso
J
J
Ortega Zurro
J
J
Gil de la Puente
J
J
Hernando Albistegui
A
A
Martín de Frutos
T
T
Encinas Gaspar
B
B
D000006:Abdomen, Acute / Q000209:etiology*; D000038:Abscess / Q000150:complications*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications; D010529:Peritoneal Cavity; D011704:Pyelonephritis / Q000150:complications*; D014548:Urinary Fistula / Q000209:etiology*
Abdomen agudo secundario a pionefrosis. Absceso perinefrítico, fistulizado a cavidad peritoneal.