title: [Renal abscess perforated into the thorax].
abstract: OBJECTIVE
  To present a case of secondary renal abscess to a xanthogranulomatosis pyelonephritis with perforation to chest that required nephrectomy and decortication left pleural.
  
  
  RESULTS
  Patient feminine of 38 years that present infections from the tract urinary secondary to kidney lithiasis that evolve to a kidney abscess that you perforates to chest where you forms an abscess. It was treated with nephrectomy and drainage of chest abscess by chest tube, and later decortication, with good evolution.
  
  
  CONCLUSIONS
  The kidney abscess and/or xanthogranulomatosis pyelonephritis are the result of a lithiasis not treated obstruction that conditions to the appearance of urinary infection and posterior pyonephrosis and or kidney abscess. The not early detection of the kidney abscess conditions to the perforation to retroperitoneal, intra-abdominal and to chest. The early treatment of the abscess (antibiotics and percutaneous drainage) it can avoid the nephrectomy.
authors.affiliation: Servicio de Urología, Hospital General de Enfermedades Zona 9, Instituto Guatemalteco de Seguridad Social, IGSS, Guatemala.
authors.forename: E A
authors.initials: EA
authors.lastname: Granados Loarca
authors.forename: R E
authors.initials: RE
authors.lastname: Quezada Ochoa
authors.forename: C B
authors.initials: CB
authors.lastname: Salazar Monterroso
mesh_terms: D000038:Abscess / Q000150:complications*; D000328:Adult; D005260:Female; D006801:Humans; D007674:Kidney Diseases / Q000150:complications*; D011705:Pyelonephritis, Xanthogranulomatous / Q000150:complications*; D013909:Thorax