All issues > Volume 43(7); 2000

Case Report

J Korean Pediatr Soc. 2000;43(7):1012-1015. Published online July 15, 2000.

A Case of Renal Abscess in Healthy Child

Jin Yeong JY Jeong¹, Young Seo YS Park¹, Soo Youn SY Ham²

¹Department of Pediatrics, College of Medicine, University of Ulsan, Ulsan, Korea
²Department of Radiology, College of Medicine, University of Ulsan, Ulsan, Korea

Correspondence Jin Yeong JY Jeong ,Email: jyjeong@uuh.ulsan.kr

Abstract

Renal abscess is rare in children and presents varying features which often lead to delay or error in diagnosis. Fever, lumbar pain, abdominal pain and occasional flank mass are the usual presenting complaints but a high degree of suspicion is important for the early detection of renal abscess. Hematogenous seeding of the kidney or ascending infection from the urinary collecting system are two proposed mechanisms of renal abscess formation. Renal ultrasonography facilitates an earlier diagnosis and is also useful in establishing percutaneous drainage, which appears to be the treatment method of choice. We experienced a case of renal abscess which was treated by percutaneous aspiration and antibiotics without surgical intervention.

Keywords :Renal abscess, E. coli, Ultrasonography, Percutaneous aspiration