Moenne-Loccoz J P, Bomsel F, Gatti J M, Prot D
Pediatr Radiol. 1978 Sep 26;7(3):150-4. doi: 10.1007/BF00975438.
As in adults, renal abscess in children mimicks a tumoral syndrome. Renal abscess, although infrequent, should however be kept in mind because it is important to make an early diagnosis. The reason is simply that the treatment fo the two conditions is so different. Furthermore, an early accurate diagnosis avoids unnecessary investigations, such as arteriography, as well as unnecessary surgery. Four cases are reported in which the diagnosis of abscess was obtained by correlating both clinical and radiological findings. In only one case was arteriography performed and this was after treatment and it was normal. For an early diagnosis intravenous urography is of paramount importance. It shows a tumoral radiological pattern; in the context of clinical signs of suppuration (high fever, high leucocyte count and variably a urinary tract infection). The radiological findings suggest the diagnosis of abscess. On treatment the rapid regression and disappearance of the various clinical, laboratory, and radiological findings confirms the diagnosis of renal abscess.
与成人一样，儿童肾脓肿类似肿瘤综合征。肾脓肿虽然不常见，但应牢记于心，因为早期诊断很重要。原因很简单，这两种病症的治疗方法截然不同。此外，早期准确诊断可避免不必要的检查，如动脉造影，以及不必要的手术。本文报告了4例通过临床和放射学检查结果相结合确诊为脓肿的病例。仅1例进行了动脉造影，且是在治疗后进行的，结果正常。对于早期诊断，静脉肾盂造影至关重要。它显示出肿瘤样放射学表现；结合化脓的临床症状（高热、白细胞计数高以及可能存在尿路感染）。放射学检查结果提示脓肿的诊断。治疗后各种临床、实验室和放射学检查结果迅速消退和消失，证实了肾脓肿的诊断。
