腎膿瘍の1例

Abstract

A 25-year-old woman was admitted to the hospital June 11, 1973 with 2-week history of left flank pain and fever. Her urine specimen was normal and count of white blood cell was 11300. Excretory and retrograde pyelograms demonstrated a mass in the left kidney. Renal arteriographic study demonstrated that left renal vessels were pushed aside. A kidney abscess was suspected. After the fever receded by the use of antibiotics, left nephrectomy was performed on June 25. The removed kidney weighed 250 g, and the renal abscess was a size of 8.5×6.5cm. By histopathological examination the wall of the abscess revealed increasing vascularity and consisted of granulation tissue infiltrated by round cells. The stroma was very fibrous and the glomerulus showed atrophy in the parenchyma around the abscess wall Postoperative course was uneventful and the patient was discharged on July 12.