Ultrasonic diagnosis of renal abscess pyelonephritis in a child (case from practice)

Abstract

This article describes a rare case of suppurative lesions of the kidney in the girlyounger than one year. She suffered from acute respiratory disease, and prolonged fever. In the blood and urine there were inflammatory changes. The ultrasound examination of the urinary system was carried out, which showed expansion of the right renal pelvis. According to the results of the survey the child was diagnosed with pyelonephritis and transferred to our clinic. Ultrasound exam performed in the Department of Nephrology revealed multiple focal formations of the right kidney up to 2.0 cm. When using a color Doppler to check for damage, the blood flow in them was not recorded, which indicated the inflammatory changes. The right kidney was enlarged compared to the left one, with increased echogenicity of the parenchyma. The paranephral fiber on the right kidney was thickened, heterogeneous structure contained a single liquid inclusion. Ultrasound specialists made a conclusion about there was an abscess of the right kidney - paranephritis. The child was operated. The revision of the right kidney revealed multiple abscesses; the puncture was performed of large focal masses and pus was removed from the paranephral fiber.