Ahmed Mensur Mohammed, Adem Mubarek Bargicho, Mideksa Adugna Getachew, Huluka Tolesa Yadeta
Department of Surgery Urology Division, Saint Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Res Rep Urol. 2023 Sep 1;15:409-414. doi: 10.2147/RRU.S412100. eCollection 2023.
Pyonephrosis is characterized by infective hydronephrosis accompanied by suppurative destruction of the renal parenchyma, resulting in partial or complete impairment of renal function. Patients present with wide range of symptoms, they can be asymptomatic in 15% but most of them present with septic features like fever, chills, and flank pain. Urinary tract infections, functional and anatomic obstruction, and anatomic anomalies such as pelvic and horseshoe kidneys are common etiologic factors. We report a 30 years old female patient with giant pyonephrosis in an ectopic kidney. She presented with acute toxic symptoms after she has been experiencing progressive abdominal swelling and pain for a couple of years. Simple nephrectomy was done four weeks after she has been initially treated with percutaneous drainage of the pus and intravenous antibiotics.
脓肾的特征是感染性肾积水伴有肾实质的化脓性破坏，导致肾功能部分或完全受损。患者症状表现多样，15%的患者可无症状，但大多数患者表现出如发热、寒战和胁腹疼痛等脓毒症特征。尿路感染、功能性和解剖性梗阻以及诸如盆腔肾和马蹄肾等解剖异常是常见的病因。我们报告一例30岁女性患者，异位肾合并巨大脓肾。她在经历数年进行性腹部肿胀和疼痛后出现急性中毒症状。在最初接受经皮脓液引流和静脉使用抗生素治疗四周后，进行了单纯肾切除术。
