title: [Perinephretic phlegmon: about 36 cases].
abstract: The authors report a series of 36 cases of perinephric phlegmon during 15 years. The patients are 27 men and 9 women. Mean age was 37 years (ranging between 25 and 70). The promoting factors of PPN are diabetes (27.8%), and kidney calculi (22.3%). Delay diagnosis is more than 3 weeks in 80% of the patients. The clinical symptomatology was dominated by pain, fever and flank mass. Diagnosis is carried out by ultrasonography in 84% and by CT scan whenever it is done. The common germs are negative Gram bacilli and staphylococcus. The treatment consists in antibiotherapy associated to a percutaneous drainage of the collection in 6 patients (16.7%) and a surgical drainage in 30 patients (83.7%). The follow-up are favorable in all cases.
authors.affiliation: Service d'urologie A, CHU Ibn-Sina, Rabat, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Benchekroun
authors.forename: H A
authors.initials: HA
authors.lastname: el Alj
authors.forename: H
authors.initials: H
authors.lastname: el Sayegh
authors.forename: A
authors.initials: A
authors.lastname: Lachkar
authors.forename: Y
authors.initials: Y
authors.lastname: Nouini
authors.forename: L
authors.initials: L
authors.lastname: Benslimane
authors.forename: Z
authors.initials: Z
authors.lastname: Belahnech
authors.forename: M
authors.initials: M
authors.lastname: Marzouk
authors.forename: M
authors.initials: M
authors.lastname: Faik
mesh_terms: D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002481:Cellulitis / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D048909:Diabetes Complications; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications; D007674:Kidney Diseases / Q000175:diagnosis / Q000473:pathology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D012307:Risk Factors
chemical_list: D000900:Anti-Bacterial Agents
vernacular_title: Le phlegmon périnéphrétique: à propos de 36 cas.