Conservative management of paediatric renal abscess

Evi Comploj, Walburga Cassar, Alessandra Farina, Paolo Gasparella, Emanuela Trenti, Salvatore Palermo, Christopher Burr Dechet, Paolo Caione, Armin Pycha

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1214-1217
Number of pages4
JournalJournal of Pediatric Urology
Volume9
Issue number6 PART B
DOIs
Publication statusPublished - Dec 2013

Keywords

  • Conservative management
  • Kidney abscess
  • Paediatric renal abscess

ASJC Scopus subject areas

  • Urology
  • Pediatrics, Perinatology, and Child Health

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    Comploj, E., Cassar, W., Farina, A., Gasparella, P., Trenti, E., Palermo, S., Dechet, C. B., Caione, P., & Pycha, A. (2013). Conservative management of paediatric renal abscess. Journal of Pediatric Urology, 9(6 PART B), 1214-1217. https://doi.org/10.1016/j.jpurol.2013.05.016