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Perirenal abscess - Overview

Alternative Names

Perinephric abscess

Definition of Perirenal abscess:

Perirenal abscess is a pocket of pus caused by an infection around one or both kidneys.

Causes, incidence, and risk factors:

Most perirenal abscesses are caused by urinary tract infections that start in the bladder, spread to the kidney, and then spread to the area around the kidney. Other causes of perirenal abscess include surgery in the urinary tract or reproductive system and bloodstream infection.

The biggest risk factor for perirenal abscess is kidney stones that block the flow of urine and provide a place for an infection to grow. Bacteria tend to stick to the stones and antibiotics can't kill the bacteria there.

Stones are found in 20-60% of patients with perirenal abscess. Other risk factors for perirenal abscess include:

  • Diabetes
  • Having an abnormal urinary tract
  • Trauma
  • Reviewed last on: 9/7/2008
  • David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; and Louis S. Liou, MD, PhD, Assistant Professor of Urology, Department of Surgery, Boston University School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Archer GL. Staphylococcal Infections. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007: chap 310.

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