Abstract

MEZA JASSO, Manuel Alejandro; SERRANO COLLAZOS, Stephanie  and  REYES ARANDA, Andrés. Renal abscess with a fistula to spleen. Cir. gen [online]. 2023, vol.45, n.2, pp.106-110.  Epub Feb 05, 2024. ISSN 1405-0099.  https://doi.org/10.35366/111512.

Renal abscesses are an accumulation of pus in the renal parenchyma, they are rare and life-threatening, related to multiple risk factors and comorbidities, mainly kidney stones, diabetes mellitus, urinary anatomical alterations, complicated pyelonephritis, among other factors; with bacteriological isolation mainly of Escherichia coli, in addition to other bacteria such as Staphylococcus aureus and Klebsiella pneumoniae. The renal abscesses represent 0.2% of all intra-abdominal abscesses and 10% of them complicated with a spontaneous rupture, sepsis and shock as more serious and mortal consequences, it has an incidence of two to four cases per 10,000 people per year, they have a clinical presentation very vague and that diagnostic suspicion is generally delayed, so it is common for them to be discovered when they already present a significant advance in their pathogenesis, requiring more intensive management. We present the case of a younger person, healthy patient with no other risk factors such as malformations or comorbidities, who presented a renal abscess secondary to pyelonephritis, unusually complicated by fistulization to the spleen.

Keywords : kidney abscess; fistula; pyelonephritis; spleen.

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