2008 19 significant morbidity and mortality Despite aggressive surgical drainage Salvatierra et al reported asurgical incision and drainagetula is a rare sequela of perirenal abscesses We remy ID: 107170
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2008 19 Correspondence and requests for reprints : Dr. I-Ching Lin significant morbidity and mortality. Despite aggres-sive surgical drainage, Salvatierra et al. reported asurgical incision and drainagetula is a rare sequela of perirenal abscesses. We re-my, and adequate drainage.A 73-year-old woman presented with one-monthnal hematoma in the left kidney. Computed tomog-low-up was advised. One month later, due to the I. C. Lin, Y. G. Wen, Y. J. Lai, and Y. W. Yang A suspected. Surgical intervention for debridement anddrainage was performed. Nine days later, stool-likeformed. At surgery, complete left kidney contour andfirmed. Now, after treatment with debridement, an-tibiotics, colonostomy, and adequate drainage, the patient had being gradually recovery. 443Fig.2.Abdominal contrast-enhanced computed tomography image studies in a 73-year-old woman with one-month indolently left-flank soreness, cross section (2a) and coronal section (2b) show left perirenal abscess, left subdiaphragmatic abscess, a fistula between perirenal space and gastrointestinal tract (arrow), and soft tissue pneumatosis with direct extention to the major vascular pedicle. Bacteroides fragilis, Peptostreptococcus, and A mor, vascular abnormalities, and disturbance to thethe study of Wilson and Ziegler, of 65 stable renal in-juries treated conservatively, there were nine (14%)diagnosis leads to higher morbidity and mortality,suppurative process and mixed microorganisms from1.Meng MV, Mario LA, McAninch JW. Current treatment 2.Wilson RF, Ziegler DW. Diagnostic and treatment problems inrenal injuries. Am Surg 1987; 53: 399-402.3.Morgan WR, Nyberg LM Jr. Perinephric and intrarenal 4.Wang JH, Chiang JH, Chang T, Chen KK. Pyeloduodenal fistula: report of 2 cases. J Formos Med Assoc 1990; 89: 1111-4.5.Hampel N, Sidor TA, Persky L. Nephrobronchial fistula.Complication of perinephric abscess secondary to ureteral 9.Doughney KB, Dineen MK, Venable DD. Nephrobronchial I. C. Lin, Y. G. Wen, Y. J. Lai, and Y. W. Yang 445 2 3 1 1 2 3 Klebsiella pneumoniae Pseudomonas aeruginosa Enterococcus Bacteroidesfragilis Peptostreptococcus Candida albicans