pyonephrosis - is end-stage non-specific or specific purulent - destructive process of the kidneys that developed due to pyelonephritis.This kidney disease turns into a kind of bag, which is filled with the products of tissue decay, urine and pus.The wall of the pelvis and infiltrated markedly thickened.
pyonephrosis Surgical treatment is complicated by the fact that the perirenal tissue in this disease undergoes scar-sclerotic changes and still adherent to the kidney and its surrounding organs.
pienefroz most commonly occurs in age from 30 to 50 years and is always accompanied by a pair of (re) nephritis.In most cases, pyonephrosis arises as a consequence secondary chronic pyelonephritis , develop as a result urolithiasis .
Equally important in the development of the disease plays a violation of the outflow of urine from the diseased kidney, which leads to the progression of purulent - destructive changes and accumulation of pus in the body
- A dull aching pain in the lumbar region, which intensified during the exacerbationdisease
- low-grade fever body
- Permanent marked weakness and possible weight loss
during exacerbations (occurs frequently) pain increases significantly increased body temperature, causing chills
On palpation palpable dense increasedKidney with limited mobility and a smooth surface.In the laboratory, revealed: severe Piura, leukocytosis, hypoproteinemia and anemia.
Held cystochromoscopy that identifies inetsiirovannost vascular mucosa ureteral orifice.
on excretory urography affected kidney radiopaque materials are released.
by ultrasound kidney looks like a multi-cavity forming a thinned parenchyma, which is filled with heterogeneous content often includes concretions
Treatment pyonephrosis only operative.The most frequently resorted to nephrectomy and nephroureterectomy (subject to satisfactory condition of the patient).After carrying out these types of surgical treatment prescribed anti-inflammatory, detoxification, and antibacterial therapy
Following the surgery prognosis is quite favorable, although in some cases, the remaining healthy kidney may develop nephrolithiasis and chronic inflammatory process.
In case of refusal of the patient from surgical treatment prognosis is much worse, as long flowing chronic purulent process in the kidney necessarily lead to very serious complications such as hepatopathy, renal amyloidosis second, urosepsis, as well as the breakthrough of pus in the perirenal fat.
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