[Perinephretic phlegmon: about 36 cases].
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.
Benchekroun
A
A
Service d'urologie A, CHU Ibn-Sina, Rabat, Maroc.
el Alj
H A
HA
el Sayegh
H
H
Lachkar
A
A
Nouini
Y
Y
Benslimane
L
L
Belahnech
Z
Z
Marzouk
M
M
Faik
M
M
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
D000900:Anti-Bacterial Agents
Le phlegmon périnéphrétique: à propos de 36 cas.