[ XXXX with phlegmonous abdominal wall infiltration. Diagnosis and assessment of extent via computerized tomography].

@entity1 @entity8 @entity6152 @entity22301 @entity2177 @entity1608 @entity1790 @entity733 @entity158 @entity526
A 34-year-old @entity1 who 14 years previously had undergone a left nephrotomy for @entity1790 complained of @entity158 in the left renal fossa which was reddened and @entity158 on percussion. She had a fever of 38.2 degrees C. C-reactive protein was raised to 80 mg/l, the white cell count to 14,620/microliters (83% neutrophils). Protein and white cells were found in the urine together with a significant number of @entity526 on urine culture. Plain film of the abdomen showed a @entity1608 and ultrasonography demonstrated @entity8 with a possible @entity733 . The computed tomography diagnosis was @entity22301 , on the basis of @entity8 , @entity1608 , @entity6152 areas with typical density values (10-15 Hounsfield units), contrast enrichment and extrarenal extension of partly phlegmonous partly fused-together inflammatory changes. The abscessing parts were drained under computed tomography control. Starting 7 days pre-operatively the @entity1 had been receiving @entity2177 (0.4 g daily) intravenously. A nephrectomy had to be performed subsequently. Antibiotic treatment was discontinued 2 weeks later and she was discharged symptom-free. The diagnosis of @entity22301 was confirmed by histological examination of the surgical specimen.
