XXXX : Is nephrectomy warranted?

@entity1 @entity6 @entity812 @entity391 @entity2885 @entity221 @entity526
INTRODUCTION: @entity2885 ( @entity2885 ) is associated with high mortality rate, up to 25%. There is still conflicting reports regarding the most appropriate management, conservative versus nephrectomy. OBJECTIVE: To describe the outcome of @entity1 with @entity2885 . METHODS: We retrospectively reviewed the medical records of @entity1 diagnosed with @entity2885 by computed tomography from three tertiary institutes in Jeddah, Saudi Arabia. Type of management was classified as conservative and surgical. The conservative includes medical and minimally invasive procedures, such as percutaneous drainage and nephrostomy. The surgical which is nephrectomy. The outcome observed was preservation of the kidney function or @entity1 's life. RESULTS: A total of 10 @entity1 were included (9 females and 1 male), median age was 55 years and 63% were @entity6 . The most common presentation was @entity812 (100%), @entity221 (75%), and @entity391 (63%). The most common organism isolated was @entity526 . Nephrectomy was not associated with increased survival rate, while conservative management was associated with a good outcome, less morbidity (not dialysis-dependent). CONCLUSION: Nephrectomy was not associated with high survival rate. @entity1 managed conservatively had a better overall performance and better survival. This study will add to other studies, which are encouraging conservative management.
