TY - JOUR
T1 - Conservative management of paediatric renal abscess
AU - Comploj, Evi
AU - Cassar, Walburga
AU - Farina, Alessandra
AU - Gasparella, Paolo
AU - Trenti, Emanuela
AU - Palermo, Salvatore
AU - Dechet, Christopher Burr
AU - Caione, Paolo
AU - Pycha, Armin
PY - 2013/12
Y1 - 2013/12
N2 - Objective Renal abscesses in the paediatric patient population are a rare entity. Patients are usually treated with percutaneous surgical drainage of the renal abscess as conservative treatment with broad-spectrum antibiotics is not considered as effective. We describe the conservative management of renal abscesses without percutaneous drainage in 6 children. Materials and methods Six patients with a median age of 31 months, admitted over a 6 year period at two medical centers, were retrospectively studied. All patients were treated conservatively. Results In all patients, the abscesses were solitary, unilateral and located in the right kidney. The median abscess diameter was 38 mm. The diagnosis was made by ultrasonography. All 6 children were treated conservatively with a urinary catheter or suprapubic catheter and broad-spectrum antibiotics. None of the renal abscesses were surgically or percutaneously drained. Conclusions A series of 6 paediatric renal abscesses, all successfully treated without surgical intervention, is presented. We believe that, in carefully selected cases, renal abscesses can be managed without percutaneous drainage. Furthermore, all children had complete resolution of the abscess.
AB - Objective Renal abscesses in the paediatric patient population are a rare entity. Patients are usually treated with percutaneous surgical drainage of the renal abscess as conservative treatment with broad-spectrum antibiotics is not considered as effective. We describe the conservative management of renal abscesses without percutaneous drainage in 6 children. Materials and methods Six patients with a median age of 31 months, admitted over a 6 year period at two medical centers, were retrospectively studied. All patients were treated conservatively. Results In all patients, the abscesses were solitary, unilateral and located in the right kidney. The median abscess diameter was 38 mm. The diagnosis was made by ultrasonography. All 6 children were treated conservatively with a urinary catheter or suprapubic catheter and broad-spectrum antibiotics. None of the renal abscesses were surgically or percutaneously drained. Conclusions A series of 6 paediatric renal abscesses, all successfully treated without surgical intervention, is presented. We believe that, in carefully selected cases, renal abscesses can be managed without percutaneous drainage. Furthermore, all children had complete resolution of the abscess.
KW - Conservative management
KW - Kidney abscess
KW - Paediatric renal abscess
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U2 - 10.1016/j.jpurol.2013.05.016
DO - 10.1016/j.jpurol.2013.05.016
M3 - Article
C2 - 23790712
AN - SCOPUS:84888436726
VL - 9
SP - 1214
EP - 1217
JO - Journal of Pediatric Urology
JF - Journal of Pediatric Urology
SN - 1477-5131
IS - 6 PART B
ER -