Enes Salı, Sevinç Kalın, Bahri Elmas, Fatma Tugba Güvenç, Zekeriya İlçe

Çocukluk çağında renal apse; 6 yaş kız hasta vaka sunumu

Renal apseler çocukluk yaş grubunda nadir görülürler. Tanıda gecikmeler böbrek kaybına neden olabilir. Tedavi yöntemi de halen tartışmalıdır. Ek hastalığı olmayan geniş spektrumlu antibiyoterapi ile regrese olmayan , organize oldugu için perkütan drenajla drene olmadığı için opere ettiğimiz büyük renal apseli hasta literatür eşliğinde değerlendirildi.

Anahtar Kelimeler:

Renal apse, çocukluk çağı, açık cerrahi, perkütan drenaj

Renal abscess in childhood: a case report 6 years girl

Renal abscesses are rarely seen in the childhood period. Delays in diagnosis may cause kidney loss. The treatment method is still controversial. The patient with a large renal abscess, which we operated on because it did not regress with broad-spectrum antibiotic therapy and was not drained with percutaneous drainage because it was organized, was evaluated in the light of the literature.

Keywords:

Renal abscess, childhood, open surgery, percutaneous drainage,

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Referans1. Bellman AB. Genitourinary infections. In: Kelalis PP, King LR, BellmanAB, eds. Clinical Pediatric Urology. Philadelphia: WB SaundersCompany, 1985: 244-245.
Referans2. Comploj E, Cassar W, Farina a, Gasparella P, Trenti E, Patermo S: Conservative management of pediatric renal abscess. Journal of PediatricUrology (2013), http://dx.doi.org./10.1016/j.purol.2013.05.016
Referans3.Cheng CH, Tsai MH, Su LH, et al. Renalabscess in children: a 10-year clinical and radiological experience in a tertiary medical center. Pediatr InfectDis J 2008;27:1025–7.
Referans4.Emanuele Rubilotta,et al. Current clinical management of renal and perinephric abscesses. Urologia 2014 ; 81 (3): 144-147, DOI: 10.5301/urologia.5000044
Referans5.Laufer J, Grisaru-Soen G, Portnoy O, et al. Bilateral renal abscesses in a healthy child. IsrMedAssoc J 2002;4:1150–1
Referans6. Evi Complojet al. Conservative management of pediatric renal abscess. Journal of pediatric urology surgery. Received 7 March 2013; accepted 15 May 2013 Available online 20 June 2013
Referans7. Chun-Yu Chen, Huang-Tsung Kuo , Yu-Jun Chang et al. Clinical assessment of children with renal abscesses presenting to the pediatric emergency department BMC Pediatrics (2016) 16:189 DOI 10.1186/s12887-016-0732-5
Referans8. C. Angel Æ T. Shu Æ J. Green Æ E. Orihuela G. Rodriquez Æ E. Hendrick Renal and peri-renal abscesses in children: proposed physiopathological mechanisms and treatment algorithm, Pediatr Surg Int (2003) 19: 35–39 DOI 10.1007/s00383-002-0888-y
Referans9. Fernandez JA, Miles BJ, Buck AS, Gibbons RP (1985) Renal carbuncle: comparison between surgical open drainage and closed percutaneous drainage. Urology 25: 142–144
Referans10. Siegel JF, Smith A, Moldwin R (1996) Minimally invasive treatment of renal abscess. J Urol 155: 52–55